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OMFS Board Exam Review #8 - ASA Classification, IV Sedation Emergencies, Laryngospasm, STEMI

Author
Brendan Gallagher, DDS
Published
Wed 20 Aug 2025
Episode Link
https://podcasters.spotify.com/pod/show/doctorgallagher/episodes/OMFS-Board-Exam-Review-8---ASA-Classification--IV-Sedation-Emergencies--Laryngospasm--STEMI-e373shi

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


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