Anesthesia Plenary: Anesthesia for Longer Office-Based Cases: Pearls and Pitfalls
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OMSs perform office-based surgical and restorative cases that may take several hours. Patients who are older or have additional health concerns require more careful selection to ensure they can withstand several hours of office-based anesthesia and/or immediate prosthesis conversion. This session will examine pearls and pitfalls in the selection of such patients, modification of anesthetic techniques and recommendations to prevent complications such as urinary retention and deep vein thrombosis. Attendees also will learn from mistakes made from closed claims summaries of such complications.
Learning Objectives
At the conclusion of this program, participants should be able to:
- Determine selection criteria for longer office-based anesthetics.
- Analyze various techniques for management of longer office-based anesthetics.
- Explain the complications that can occur during longer anesthesia cases in the office setting.
- Evaluate the medico-legal implications of performing longer procedures under anesthesia in the office.
- Discuss if engaging a second provider is indicated in this setting.
Selection Criteria for Longer Office-Based Cases
Riddhi Patel, DMD
Oral and Maxillofacial Surgeon
Harmony Oral and Facial Surgery
Tega City, South Carolina
Disclosure(s): No financial relationships to disclose
Techniques for Anesthesia for Longer Implant Cases in the Office
Bryant Cornelius, DDS, MBA, MPH
Medical Director
Cleveland Children's Surgery Center
North Royalton, Ohio
Disclosure(s): No financial relationships to disclose
Preventing Complications from Anesthesia in Longer Office-Based Cases
Bryant Cornelius, DDS, MBA, MPH
Medical Director
Cleveland Children's Surgery Center
North Royalton, Ohio
Disclosure(s): No financial relationships to disclose
Lessons Learned from Closed Claims in Longer Office-Based Cases
Nicholas Bournias, DDS
Instructor
OMSNIC
Clinton Township, Michigan
Disclosure(s): No financial relationships to disclose
Engaging a Second Provider for Longer Office-Based Cases
Jay M. Neugarten, DDS, MD, FACS
Private Practice
New Yorn Center for Orthognathic and Maxillofacial Surgery (NYCOMS)
New York, New York
Disclosure(s): Straumann Group: Consultant (Ongoing); Stryker CMF: Consultant (Ongoing)
An Internet-based CDE/CME Activity
Original Release Date: September 13, 2024
Expiration Date: September 13, 2027
Estimated time to complete this educational activity: 2.0 hours
Method of participation: Self-Study
Riddhi Patel, DMD (she/her/hers)
Oral and Maxillofacial Surgeon
Harmony Oral and Facial Surgery
Dr. Patel earned her Doctor of Dental Medicine (DMD) degree from the University of Pennsylvania in Philadelphia in 2013, where she graduated top ten of her class. Pursuing her passion for surgery, she completed an extensive and rigorous residency program in Oral and Maxillofacial Surgery at Mount Sinai Hospital in New York in 2018, later obtaining her board certification in 2020. Currently, Dr. Patel practices in her own establishment at Harmony Oral and Facial Surgery in Tega Cay, SC. She, also, holds hospital privileges at Piedmont Medical Center in South Carolina.
Disclosure(s): No financial relationships to disclose
Bryant Cornelius, DDS, MBA, MPH
Medical Director
Cleveland Children's Surgery Center
Dr. Cornelius received his DDS degree from Northwestern University, his MBA degree from the University of Utah, and his MPH degree from The University of Pittsburgh. After practicing general dentistry for 15 years, Dr. Cornelius completed a three-year residency in anesthesiology at the University of Pittsburgh. He is a Fellow of the American Dental Society of Anesthesiology and a Diplomat of both the American Dental Board of Anesthesiology and the National Dental Board of Anesthesiology. Dr. Cornelius is the Medical Officer and head anesthesiologist for The Cleveland Children’s Surgery Center and is currently serving as the President-Elect of the American Society of Dentist Anesthesiologists. He can be reached at bryantcornelius@reveranesthesia.com.
Disclosure(s): No financial relationships to disclose
Nicholas Bournias, DDS
Instructor
OMSNIC
Dr. Nicholas J. Bournias is a practicing oral and maxillofacial surgeon in the Detroit metropolitan area. After completing his undergraduate education at Oakland University in Michigan, he received his dental degree from the University of Detroit in 1990. Dr. Bournias completed his Oral and Maxillofacial Surgery residency at Henry Ford Hospital in Detroit, Michigan in 1994. In addition to his private practice, he is the Chief of Oral and Maxillofacial Surgery at Oakland University William Beaumont School of Medicine, and a member of the Craniofacial team. Dr. Bournias has been a Diplomate of the American Board of Oral and Maxillofacial Surgery since 1996. He has served as a committee member of the Michigan Dental Association Insurance Financial Group for four years. He has held the past position of State of Michigan Oral and Maxillofacial Surgery Specialty Board Examiner and has also served on the American Board of Oral and Maxillofacial Examination Committee for seven years. He is a past member on the State of Michigan Board of Dentistry. Dr. Bournias is the former Co-Chair of the Cleft Lip and Palate Clinic at the Hurley-Mott Hospital in Flint, Michigan. Working in various capacities with OMSNIC, he has been a member of the OMSNIC Advisory Board, the Underwriting Appeals Committee, the Underwriting Committee and Claims Committee. He has been a Director of the Company since 2016 and of Fortress beginning in 2017. He has also served as a Director of The River Agency since 2017.
Disclosure(s): No financial relationships to disclose
Jay M. Neugarten, DDS, MD, FACS
Private Practice
New York Center for Orthognathic and Maxillofacial Surgery (NYCOMS)
Dr. Jay Neugarten is an oral and maxillofacial surgeon practicing for over 20 years at The New York Center for Orthognathic and Maxillofacial Surgery in Manhattan, New York. Graduating from Columbia’s School of Dental Medicine and completing advanced training in oral surgery at North Shore’s Long Island Jewish Medical Center before earning a medical degree from Stony Brook University, Dr. Neugarten’s
areas of expertise cover an array of advanced treatments from individually customized orthognathic plates to robotically guided implant reconstructions. A distinguished fellow of the American College of Surgeons.
Dr. Neugarten has also served as an educator of residents and students at Cornell-Weill and Long Island Jewish Medical Centers as well as lecturing internationally on the latest modalities in oral and maxillofacial surgery. He additionally established the Zaga Center New York City, a collaborative effort within the international Zaga community of surgeons dedicated to advancing the field of zygomatic reconstruction. The dedication and passion that marked Dr. Neugarten’s academic achievements remain a driving force throughout his career, exemplifying the dynamic intersection of
skill, innovation, and compassion that defines his pioneering approach to oral surgery.
Disclosure(s): Straumann Group: Consultant (Ongoing); Stryker CMF: Consultant (Ongoing)
Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 2.0 continuing education credit(s).
AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680
The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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