Everyday Oral Surgery Medical Emergencies for the Office-Based Surgeon (with Drs. Andrew Jenzer and Elisa Hannan)
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Jul 7, 2025 Dr. Andrew Jenzer, a Duke University resident preparer, and Dr. Elisa Hannan, an oral surgeon from Connecticut, dive into critical medical emergencies for office-based surgeries. They discuss scenarios like cardiac arrest and bronchospasms, highlighting vital emergency protocols. Listeners learn about the intricacies of administering epinephrine, recognizing high-risk patients for syncope, and the importance of activation of emergency services. Their insights aim to equip both residents and seasoned surgeons with the skills needed to manage any crisis effectively.
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Preventing Vasovagal Syncope
- Screen patients for syncope history and triggers before procedures like IV sedation.
- Position patients with head level or lower than heart to prevent full syncopal episodes.
Managing Bronchospasm Emergencies
- Treat bronchospasm first with 4-8 albuterol puffs using a spacer and increase oxygen to 100%.
- Use steroids and epinephrine if needed, and prepare for airway management and possible intubation.
Breaking Laryngospasm Quickly
- For laryngospasm, stop the procedure, pack the site, suction aggressively, and perform Larson's maneuver.
- If unresolved, deepen anesthesia with propofol and consider succinylcholine to break the spasm, especially in children with atropine.