6.18.24 - 👉 Do you have questions about applying to Oral & Maxillofacial Surgery residency 💀 or dental school 🦷? Keep an eye out for my next Q&A session, held on Instagram at the end of every month, for my live & personalized mentoring. This is for YOU 🤜🤛

🙋🏼‍♂️ These are clips from Instagram LIVE Q&A sessions, TikToks & Reels, and zoom events that I’ve hosted both individually and with our company Top Professionals 🙌 If you’re a club or organization and you’d like me to host your zoom event or conference, DM me on insta that is the best way to contact me directly 👌

*** 👉 PreDent Mentor Map is now live btw, at predentmentormap.org ! ***

⛈ If you have questions, thoughts or ideas that you’d like to discuss involving my other ventures, including entrepreneurship (Top Professionals LLC 🏔, Vé Club 🍷), our products/services (PreDent Mentor Map, Dentist Map, Winery Map), NFTs 🖼(@feelings.nft 🎨, or my NFTs story highlight) workouts 💪, music producing/performing 🎶 (SoundCloud, violin 🎻 ), DM me and let’s talk 🤙

❤️ MOST importantly: THANK YOU for watching and being on my team- I do this for YOU. Mentoring is what got me here, and it is how I’ll help you achieve your dream goals as best I can. You are a MASSIVE part of this journey to me, more than you know 🙌🙏🙌

🤠 @doctorgallagher

https://www.instagram.com/doctorgallagher/

🦷 Oral & Maxillofacial Surgery Resident

🏔 Top Professionals Cofounder

🗺️ PreDent Mentor Map

🗺️ predentmentormap.org

🎙 Dr. Gallagher’s Podcast

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

Instagram: https://www.instagram.com/doctorgallagher/

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

Twitter: @drgallagher_ #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

6.18.24

Quick Review #152 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #anesthesia #sedation #ivs

Of the commonly used medications used for or during IV sedation(s), most are generally metabolized in the same organ. Included is a brief overview of their metabolism:

1. Versed (Midazolam): Primarily metabolized by the liver via the cytochrome P450 enzyme system, particularly CYP3A4.

2. Ketamine: Also primarily metabolized by the liver through the cytochrome P450 enzymes (mainly CYP2B6 and CYP3A4).

3. Fentanyl: Metabolized primarily by the liver, especially by the CYP3A4 enzyme.

4. Propofol: Metabolized mainly by the liver through conjugation with glucuronic acid and hydroxylation by cytochrome P450 enzymes.

5. Etomidate: Etomidate is primarily metabolized by the liver. The major pathway involves hydrolysis by hepatic and plasma esterases to form its carboxylic acid metabolite, which is inactive.

6. Ondansetron: This antiemetic is primarily metabolized by the liver through the cytochrome P450 enzyme system, specifically CYP3A4, CYP2D6, and CYP1A2. Its renal clearance is minimal, and the kidneys play a minor role in its excretion.

7. Dexamethasone (Decadron): This corticosteroid is also primarily metabolized by the liver. It undergoes extensive hepatic metabolism mainly by CYP3A4 enzymes. Renal excretion is not significant for the unchanged drug, but the metabolites are excreted by the kidneys.

While the kidneys play a role in the excretion of some metabolites, the primary metabolism of these drugs occurs in the liver. This is an important distinction, especially when considering patients with liver or kidney dysfunction.

References:

1. NYSORA. (n.d.). Intravenous Anesthetics. Retrieved June 18, 2024, from https://lnkd.in/eZhGwEBy

2. Reves, J. G., Glass, P. S. A., Lubarsky, D. A., McEvoy, M. D., & Martinez-Ruiz, R. (2009). Intravenous Anesthetics. In R. D. Miller, L. I. Eriksson, L. A. Fleisher, J. P. Wiener-Kronish, W. L. Young, & J. F. Pardo Jr. (Eds.), Miller’s Anesthesia (7th ed., pp. 719-768). Philadelphia, PA: Churchill Livingstone/Elsevier.

3. Goodman, L. S., Brunton, L. L., Chabner, B., & Knollmann, B. C. (2018). Goodman & Gilman’s: The Pharmacological Basis of Therapeutics (13th ed.). New York, NY: McGraw-Hill Education.

4. Lischke, V., Behne, M., Doelken, P., Kessler, P., Keller, C., & Huppe, M. (1994). Pharmacokinetics of midazolam, propofol, and fentanyl in patients with renal failure. British Journal of Anaesthesia, 73(4), 461-465. https://lnkd.in/ee8FZDqS

5. ChatGPT. 2024. #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Topics:

💀 Oral & Maxillofacial Surgery

📖 CBSE Exam Material

🔬Oral Pathology

🫀Anatomy

💉Anesthesia

🚑 ATLS (Advanced Trauma Life Support)

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency

6.18.24 - *PODCAST EXCLUSIVE*

6.17.24 - 👉 Do you have questions about applying to Oral & Maxillofacial Surgery residency 💀 or dental school 🦷? Keep an eye out for my next Q&A session, held on Instagram at the end of every month, for my live & personalized mentoring. This is for YOU 🤜🤛

🙋🏼‍♂️ These are clips from Instagram LIVE Q&A sessions, TikToks & Reels, and zoom events that I’ve hosted both individually and with our company Top Professionals 🙌 If you’re a club or organization and you’d like me to host your zoom event or conference, DM me on insta that is the best way to contact me directly 👌

*** 👉 PreDent Mentor Map is now live btw, at predentmentormap.org ! ***

⛈ If you have questions, thoughts or ideas that you’d like to discuss involving my other ventures, including entrepreneurship (Top Professionals LLC 🏔, Vé Club 🍷), our products/services (PreDent Mentor Map, Dentist Map, Winery Map), NFTs 🖼(@feelings.nft 🎨, or my NFTs story highlight) workouts 💪, music producing/performing 🎶 (SoundCloud, violin 🎻 ), DM me and let’s talk 🤙

❤️ MOST importantly: THANK YOU for watching and being on my team- I do this for YOU. Mentoring is what got me here, and it is how I’ll help you achieve your dream goals as best I can. You are a MASSIVE part of this journey to me, more than you know 🙌🙏🙌

🤠 @doctorgallagher

https://www.instagram.com/doctorgallagher/

🦷 Oral & Maxillofacial Surgery Resident

🏔 Top Professionals Cofounder

🗺️ PreDent Mentor Map .org

🎙 Dr. Gallagher’s Podcast

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

Instagram: https://www.instagram.com/doctorgallagher/

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

Twitter: @drgallagher_ #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

6.17.24

Quick Review #151 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental

In the context of mandibular fracture repair, “rigid” and “non-rigid” fixation refer to different techniques used to stabilize the fractured bone segments:

Rigid Fixation: Rigid fixation involves the use of plates and screws to hold the fractured segments of the mandible firmly in place, preventing any movement between them.

Techniques:

• Commonly uses titanium plates and screws.

• Plates can be placed either intraorally or extraorally.

• Often requires more extensive surgical exposure.

Advantages:

• Provides stable fixation, allowing for immediate function and early mobilization.

• Reduces the need for maxillomandibular fixation (MMF), which is often uncomfortable for patients.

• Generally associated with lower rates of malunion and nonunion.

• Allows for more predictable and precise anatomical reduction.

Disadvantages:

• More invasive, potentially leading to increased surgical time and risk of complications.

• Higher cost due to the materials and techniques used.

Indications:

• Used in more complex or comminuted fractures.

• Indicated in fractures where precise anatomical alignment is crucial.

• Preferred in situations where early function is desired.

Non-Rigid Fixation: Non-rigid fixation typically involves the use of wires, arch bars, or other devices that allow for some movement between the fractured segments.

Techniques:

• Common methods include intermaxillary fixation (IMF) using wires or arch bars.

• Less invasive than rigid fixation techniques.

• Often performed intraorally.

Advantages:

• Simpler and less invasive, usually resulting in shorter surgical time.

• Lower cost compared to rigid fixation.

• Suitable for less complex fractures.

Disadvantages:

• Generally requires prolonged MMF, which can be uncomfortable for the patient.

• Limited stability compared to rigid fixation, potentially leading to higher rates of malunion or nonunion.

• Patients may need to be on a liquid diet for an extended period.

Indications:

• Used for simple fractures, especially those with favorable fracture lines.

• Suitable for children or patients with less complex fractures.

• Often employed in resource-limited settings or when rigid fixation is not feasible.

Summary

• Rigid Fixation: More stable, allows early function, suitable for complex fractures, but is more invasive and costly.

• Non-Rigid Fixation: Simpler, less invasive, suitable for less complex fractures, but usually requires longer MMF and provides less stability.

References:

1. Ellis, E. (2022). Rigid versus nonrigid fixation. In M. Miloro, G. E. Ghali, P. E. Larsen, & P. Waite (Eds.), Peterson’s Principles of Oral and Maxillofacial Surgery (4th ed., pp. 539-554). Springer.

2. Fonseca, R. J., Barber, H. D., Powers, M. P., & Frost, D. E. (2000). Oral and Maxillofacial Trauma (2nd ed.). W.B. Saunders Company.

3. ChatGPT. 2024. - #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Topics:

💀 Oral & Maxillofacial Surgery

📖 CBSE Exam Material

🔬Oral Pathology

🫀Anatomy

🚑 ATLS (Advanced Trauma Life Support)

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

6.14.24 - 👉 Do you have questions about applying to Oral & Maxillofacial Surgery residency 💀 or dental school 🦷? Keep an eye out for my next Q&A session, held on Instagram at the end of every month, for my live & personalized mentoring. This is for YOU 🤜🤛

🙋🏼‍♂️ These are clips from Instagram LIVE Q&A sessions, TikToks & Reels, and zoom events that I’ve hosted both individually and with our company Top Professionals 🙌 If you’re a club or organization and you’d like me to host your zoom event or conference, DM me on insta that is the best way to contact me directly 👌

*** 👉 PreDent Mentor Map is now live btw, at predentmentormap.org ! ***

⛈ If you have questions, thoughts or ideas that you’d like to discuss involving my other ventures, including entrepreneurship (Top Professionals LLC 🏔, Vé Club 🍷), our products/services (PreDent Mentor Map, Dentist Map, Winery Map), NFTs 🖼(@feelings.nft 🎨, or my NFTs story highlight) workouts 💪, music producing/performing 🎶 (SoundCloud, violin 🎻 ), DM me and let’s talk 🤙

❤️ MOST importantly: THANK YOU for watching and being on my team- I do this for YOU. Mentoring is what got me here, and it is how I’ll help you achieve your dream goals as best I can. You are a MASSIVE part of this journey to me, more than you know 🙌🙏🙌

🤠 @doctorgallagher

https://www.instagram.com/doctorgallagher/

🦷 Oral & Maxillofacial Surgery Resident

🏔 Top Professionals Cofounder

🗺️ PreDent Mentor Map .org

🎙 Dr. Gallagher’s Podcast

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

Instagram: https://www.instagram.com/doctorgallagher/

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

Twitter: @drgallagher_ - #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency

6.14.24

Quick Review #150 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #anesthesia #ekg

1. Bradycardia (slow heart rate):

• Description: A heart rate of less than 60 beats per minute.

• Causes: Can be caused by sedation drugs, vagal stimulation, hypoxia, or underlying cardiac conditions.

• Treatment:

• Mild cases: Often resolve without treatment, monitor closely.

• Severe cases: Administer atropine (0.5 mg IV, repeat every 3-5 minutes up to a total of 3 mg) if symptomatic or the heart rate is extremely low.

• Persistent bradycardia: May require transcutaneous pacing or emergency medical services (EMS) activation.

2. Tachycardia (fast heart rate):

• Description: A heart rate of more than 100 beats per minute.

• Causes: Pain, anxiety, hypovolemia, hypoxia, or reaction to medications.

• Treatment:

• Identify and treat the underlying cause: Provide oxygen, manage pain or anxiety.

• If persistent and symptomatic: Beta-blockers (e.g., metoprolol) may be administered if appropriate and no contraindications exist.

• Severe cases: Consider calling EMS if there is hemodynamic instability.

3. Premature Ventricular Contractions (PVCs):

• Description: Early, wide, and bizarre-looking QRS complexes.

• Causes: Hypoxia, electrolyte imbalances, drug effects.

• Treatment:

• Occasional PVCs: Often benign and require no treatment other than correcting the underlying cause.

• Frequent PVCs or runs: Ensure adequate oxygenation, correct electrolytes. If symptomatic, consider antiarrhythmic medications like amiodarone.

• If unstable: Call EMS.

4. Atrial Fibrillation (AFib):

• Description: Irregularly irregular rhythm with no discernible P waves.

• Causes: Can be triggered by stress, hypoxia, electrolyte imbalance, or underlying heart disease.

• Treatment:

• New onset or symptomatic: Administer rate control medications (e.g., beta-blockers, diltiazem).

• If unstable: Immediate cardioversion may be required. Activate EMS.

5. Ventricular Tachycardia (VT):

• Description: Regular, wide-complex tachycardia.

• Causes: Myocardial ischemia, electrolyte imbalances, drug effects.

• Treatment:

• Stable VT: Administer antiarrhythmics (e.g., amiodarone).

• Unstable VT with a pulse: Immediate synchronized cardioversion.

• Pulseless VT: Begin CPR and defibrillation, follow ACLS (Advanced Cardiovascular Life Support) protocols, and call EMS.

References:

1. Pohrebnyak, O. (n.d.). Schemes set of common electrocardiogram (ECG) abnormalities, including partial blocks and flutter [Illustration]. Alamy.

2. American Heart Association. (2020). Advanced Cardiovascular Life Support (ACLS) Provider Manual. American Heart Association.

3. Miller, R. D., & Cohen, N. H. (2020). Miller’s Anesthesia (9th ed.). Elsevier.

4. ChatGPT. 2024. - #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency

Topics:

🦷 General Dentistry INBDE Boards Question Concepts

🔬Oral Pathology

🫀Anatomy

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency