{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:16:25Z","timestamp":1780366585701,"version":"3.54.1"},"reference-count":39,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>The safe treatment of patients with chronic obstructive pulmonary disease (COPD) in dental office\u2013based settings can be quite complex without a current understanding of the etiology, course, severity, and treatment modalities of the disease. The additional concerns of providing sedation and\/or general anesthesia to patients with COPD in settings outside of a hospital demand thorough investigation of individual patient presentation and realistic development of planned treatment that patients suffering from this respiratory condition can tolerate. Along with other comorbidities, such as advanced age and potential significant cardiovascular compromise, the dental practitioner providing sedation or general anesthesia must tailor any treatment plan to address multiple organ systems and mitigate risks of precipitating acute respiratory failure from inadequate pain and\/or anxiety control. Part I of this article will cover the epidemiology, etiology, and pathophysiology of COPD. Patient evaluation in the preoperative period will also be reviewed. Part II will cover which patients are acceptable for sedation\/general anesthesia in the dental office\u2013based setting as well as sedation\/general anesthesia techniques that may be considered.<\/jats:p>","DOI":"10.2344\/anpr-65-04-12","type":"journal-article","created":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T01:13:09Z","timestamp":1546564389000},"page":"261-268","source":"Crossref","is-referenced-by-count":8,"title":["Office-Based Sedation\/General Anesthesia for COPD Patients, Part I"],"prefix":"10.2344","volume":"65","author":[{"given":"Kristin","family":"Chino","sequence":"first","affiliation":[{"name":"Private Practice, Anesthesia for Dentistry, Las Vegas, Nevada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Ganzberg","sequence":"additional","affiliation":[{"name":"Clinical Professor of Anesthesiology, UCLA School of Dentistry, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristopher","family":"Mendoza","sequence":"additional","affiliation":[{"name":"Private Practice, CarePoint Anesthesia, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1191","reference":[{"key":"i0003-3006-65-4-261-b01","series-title":"J Glob Health","first-page":"020415","article-title":"Global and regional estimates of COPD prevalence: systematic review and meta-analysis","volume":"5","author":"Adeloye \n              D,","year":"2015","unstructured":"Adeloye \n              D, \n            \n            \n              Chua \n              S, \n            \n            \n              Lee \n              C, \n            \n            et al. \n          Global and regional estimates of COPD prevalence: systematic review and meta-analysis. 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