Top 5 Topics:

- Emergency response to bradycardia and hypotension during IV sedation

- Managing IV site complications: phlebitis, infiltration, and infection

- Recognizing and acting on sepsis in the dental office

- Critical monitoring changes for high-risk sedation patients

- The 4 types of hypersensitivity reactions explained with oral surgery examples

*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***

- Wanna sponsor these episodes? Let me know in my LinkedIn DM or Instagram DM.

Questions & Topics:

00:00 – What’s the first move when a sedation patient crashes with HR 40 and BP 90/50?

03:21 – How do you manage pain and swelling at the IV site 24 hours post-op?

06:56 – What’s the urgent management when the IV site is infected with pus and fever at 48 hours?

10:46 – What pre-op monitoring is critical after a patient with recent MI and IV infection?

14:44 – How do you manage an ETCO₂ spike to 60 during sedation?

17:12 – What’s the differential for a confused and agitated recovery patient?

20:05 – When do you use flumazenil, and what must you rule out first?

23:48 – How do you respond to a rash and wheezing 30 minutes post-op (possible anaphylaxis)?

25:46 – Post-op fever and swelling at extraction site: infection vs. osteomyelitis?

29:30 – The 4 Types of Hypersensitivity Reactions explained for OMFS boards.

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 8.2025

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

🎙️ Clip from TikTok LIVE #55

👉 Full episode on Dr. Gallagher’s Podcast on Spotify, Apple Podcasts and YouTube Channel

🏆 Top 5 Longest Viewers of the TikTok LIVE get a shoutout in the caption!

🗓️ I do TikTok LIVE’s usually on Sunday evenings randomly between 6:00-9:30pm EST (or Monday evenings, if I’m in the OR or presenting early Monday morning) so stay tuned on my TikTok @doctorgallagher_

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Top 5 Topics:

- Pre-operative cardiac risk assessment in hypertensive patients

- Emergency management of oxygen desaturation during IV sedation

- Hypertensive crisis under sedation — causes and interventions

- Differential diagnosis for chest pain & shortness of breath post-op

- Recognizing and managing perioperative myocardial infarction

*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***

- Wanna sponsor these episodes? Let me know in my LinkedIn DM or Instagram DM.

Questions & Topics:

00:00 – Preoperative Assessment Essentials: Key cardiovascular parameters for IV sedation safety

02:10 – Managing Oxygen Saturation Drops: Immediate airway and reversal strategies

03:41 – Addressing Hypertensive Crises During Sedation: Differentials and emergency meds

06:03 – Differential Diagnosis for Post-Op Chest Pain: MI, PE, pneumothorax, and more

08:11 – Immediate Actions for ST Elevation on ECG: Oxygen, aspirin, nitroglycerin, EMS

09:44 – Factors Contributing to Perioperative Myocardial Infarction: Sedation missteps & prevention

12:16 – Essential Lab Tests for Cardiac Risk Assessment: BMP, CBC, ECG, and when to order more

13:25 – Medication Pitfalls in Sedation: Propofol, fentanyl, ketamine, and hemodynamic effects

15:02 – Family History vs. Real Risk Factors: What truly matters in cardiac screening

16:30 – Preventing Sedation-Related Cardiac Complications: Monitoring, titration, and clearance

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 8.2025

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

🎙️ Clip from TikTok LIVE #71

👉 Full episode on Dr. Gallagher’s Podcast on Spotify, Apple Podcasts and YouTube Channel

🏆 Top 5 Longest Viewers of the TikTok LIVE get a shoutout in the caption!

🗓️ I do TikTok LIVE’s usually on Sunday evenings randomly between 6:00-9:30pm EST (or Monday evenings, if I’m in the OR or presenting early Monday morning) so stay tuned on my TikTok @doctorgallagher_

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

*PODCAST EXCLUSIVE* - 8.21.25

- An audio elaboration of this Threads/X thought or idea I just posted:

“Interviews aren’t multiple-choice exams, they’re conversations. Find common ground and show who you really are.”

- from Dose of Dental Podcast #169 with Dr. Yvette Carrillo @perio.princess

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Quick Review #282 - #sedation #anesthesia #hypoxia #oralsurgery #dentist #doctorgallagher

- 8.21.25

Hypoxia Management Checklist (IV Sedation)

1. Stop all sedative medications – halt midazolam, fentanyl, or propofol immediately.

2. Administer 100% oxygen – non-rebreather mask; escalate from nasal cannula if already in use.

3. Airway maneuvers – jaw thrust, chin lift, suction secretions; relieve obstruction.

4. Positive pressure ventilation (PPV) – bag-valve-mask if spontaneous respirations inadequate.

5. Pharmacologic reversal if needed – naloxone 0.1–0.2 mg IV for opioids; flumazenil 0.2 mg IV if benzodiazepine effect suspected.

Hypoxia during IV sedation is one of the most important emergencies to recognize and manage quickly. In our study session, the scenario was a 30-year-old female under IV sedation with midazolam and fentanyl who developed an oxygen saturation drop to 88% with a slowed respiratory rate. This clinical picture is most consistent with opioid-induced respiratory depression compounded by mild airway obstruction from sedation.

Immediate management must be stepwise and systematic. The first step is always to stop administration of all sedative medications to prevent further depression. Next, apply 100% oxygen via a non-rebreather mask—nasal cannula alone is insufficient at this stage. Airway maneuvers such as a jaw thrust and chin lift should be performed to relieve soft tissue obstruction caused by relaxation of the tongue and pharyngeal tissues. If oxygen saturation does not improve promptly, initiate positive pressure ventilation with a bag-mask to restore ventilation.

If suspicion is strong for opioid-induced respiratory depression, administer naloxone 0.1–0.2 mg IV titrated slowly until adequate spontaneous ventilation returns. This should be used cautiously to avoid abrupt withdrawal or complete reversal of analgesia. If excessive benzodiazepine effect is suspected, flumazenil 0.2 mg IV may be given, though it carries risk of precipitating seizures in patients with chronic benzodiazepine use.

Monitoring is essential. Continuous pulse oximetry, blood pressure, and ECG should be observed, and capnography (EtCO₂) is strongly recommended to detect hypoventilation early.

References:

1. https://lnkd.in/ek2cRQnv

2. Miloro, M., Ghali, G. E., Larsen, P. E., & Waite, P. (Eds.). (2022). Peterson’s Principles of Oral and Maxillofacial Surgery (4th ed.). Springer.

2. Abubaker, A. O., Lam, D., & Benson, K. (2016). Oral and Maxillofacial Surgery Secrets (3rd ed.). Elsevier.

3. ChatGPT.2025.

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Top 5 Topics:

- Doctors vs. Dentists: The Surprising Lifestyle Trade-Offs

- Oral Surgeons vs. Periodontists: Inside the Hidden Rivalry

- The Insurance Scam: Why Your Dentist Isn’t Paid Fairly

- Who Really Runs Dentistry? Private Equity, DSOs, and the Decline of Autonomy

- From Wine Tasting to Surgery: How Passions Outside Medicine Make Better Doctors

Quotes & Wisdom:

“You know you’re doing well when the nurses trust you with their care. That’s the ultimate compliment.” (00:00)

“Dental school does a terrible job of exposing students to what perio really is—we’re not just doing cleanings, we’re doing real surgery.” (02:33)

“Having a strong relationship between oral surgeons and periodontists is so crucial. That’s how you best serve patients.” (03:53)

“Hospitals don’t pay surgeons to take call anymore. Why should young doctors work for free? This is where the system is failing.” (05:25)

“Insurance companies are still paying based on 1970s rates. Everything else has inflated, but our work is being devalued.” (12:54)

“Most DSOs are owned by investors, not dentists. They know money—but they never took an oath for patient ethics.” (14:42)

“Interviews aren’t multiple-choice exams, they’re conversations. Find common ground and show who you really are.” (33:37)

“Anything you can do with your hands—fashion, textiles, sewing—will make you a better surgeon.” (32:07)

“Just because a wine is expensive doesn’t mean it tastes good. Everyone has a different palette.” (34:59)

“Four years in, life looks so different—you finally feel more stable, and that’s when the real world begins.” (41:37)

Questions:

00:05 – Did you notice doctors steering their kids from medicine toward dentistry?

01:11 – What did you mean when you mentioned “beef” between oral surgery and perio?

02:10 – Do you feel dental schools do a poor job of showing what periodontics really is?

04:39 – Why don’t more oral surgeons want to take trauma call in hospitals?

08:32 – What are your thoughts on dental schools “boxing” specialties into insurance-driven niches?

27:32 – How did you first get into running your wine Instagram pages?

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- Dose of Dental Podcast #169

My watch in this episode = Tag Heuer Aquaracer Calibre 16 Chrono

- 8.2025

#podcast #dentalpodcast #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

📍It’s the 2nd half of 2025, I just graduated residency in Oral & Maxillofacial Surgery in June, now starting to work at All County Oral Surgery in Melville on Long Island, NY. I’ll be an associate surgeon here & working toward a personal goal of becoming a partner one day. Outside of dentistry, I have side projects & companies to bring my passions to life, including mentorship, education, and life strategy, and I obnoxiously share a lot of content on it all as I go hahahaha

👉 Keep an eye out for my weekly TikTok LIVE Q&A Session (usually Sunday evenings) and the monthly Q&A session on Instagram (end of every month). Let me know how I can help you

🌎 *** PreDent Mentor Map is now LIVE, at predentmentormap.org ! *** it’s a free resource for predental students to use for data on every dental school, and to connect with current dental students for personalized mentoring.

🙋🏼‍♂️ If you’re an organization or club at a school and you’d like to discuss a partnership, event or conference, DM me on Instagram or LinkedIn- that is the best way to contact me directly

❤️ MOST importantly: THANK 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

🤠 Sincerely, Brendan @doctorgallagher

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #dentalpodcast #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #doctorlife #dentistlife #oralsurgeon #doctorgallagher

Top 5 Topics:

- ASA Classifications - explained with real patient examples

- IV Sedation Emergencies - managing hypoxia, hypotension, and bradycardia.

- Laryngospasm recognition & management under IV sedation

- Cardiac complications during dental sedation: STEMI, arrhythmias, and aspirin’s role

- Anaphylaxis & hypoglycemia in the OR

*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***

- Wanna sponsor these episodes? Let me know in my LinkedIn DM or Instagram DM.

Questions & Topics:

00:00 – Understanding ASA Classification & patient risk assessment

02:23 – Essentials of the pre-operative workup for IV sedation

05:14 – Managing sedation complications: hypoxia & airway issues

07:19 – Differential diagnosis for hypotension during sedation

09:48 – Seizure management in the OR under sedation

12:19 – Recognizing & treating laryngospasm intraoperatively

14:53 – Bradycardia during sedation: causes & first steps

17:32 – Wheezing + hypotension: anaphylaxis vs asthma

18:56 – Immediate management of STEMI during dental sedation

20:50 – Aspirin’s mechanism of action & its role in cardiac events

23:38 – Respiratory depression in COPD patients under sedation

25:41 – Post-sedation agitation: differential & safe management

29:25 – Anaphylaxis protocols for office-based oral surgery

32:26 – Treating hypoglycemia in diabetic surgical patients

34:35 – Recognizing hypovolemic shock post-extraction

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 8.2025

#podcast #dentalpodcast #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #doctorlife #dentistlife #oralsurgeon #doctorgallagher

📍It’s the 2nd half of 2025, I just graduated residency in Oral & Maxillofacial Surgery in June, now starting to work at All County Oral Surgery in Melville on Long Island, NY. I’ll be an associate surgeon here & working toward a personal goal of becoming a partner one day. Outside of dentistry, I have side projects & companies to bring my passions to life, including mentorship, education, and life strategy, and I obnoxiously share a lot of content on it all as I go hahahaha

👉 Keep an eye out for my weekly TikTok LIVE Q&A Session (usually Sunday evenings) and the monthly Q&A session on Instagram (end of every month). Let me know how I can help you

🌎 *** PreDent Mentor Map is now LIVE, at predentmentormap.org ! *** it’s a free resource for predental students to use for data on every dental school, and to connect with current dental students for personalized mentoring.

🙋🏼‍♂️ If you’re an organization or club at a school and you’d like to discuss a partnership, event or conference, DM me on Instagram or LinkedIn- that is the best way to contact me directly

❤️ MOST importantly: THANK 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

🤠 Sincerely, Brendan @doctorgallagher

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #dentalpodcast #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #doctorlife #dentistlife #oralsurgeon #doctorgallagher