Everyday Oral Surgery

The Pros and Cons of Precedex and Remifentanil, Plus a Dive into an Innovative Non-Pharmaceutical Approach (with Dr. Dallen Mill, MD Anesthesiologist)

January 29, 2024 Grant Stucki - oral and maxillofacial surgeon Episode 231
Everyday Oral Surgery
The Pros and Cons of Precedex and Remifentanil, Plus a Dive into an Innovative Non-Pharmaceutical Approach (with Dr. Dallen Mill, MD Anesthesiologist)
Show Notes

There is no such thing as a perfect anesthetic, but there are some that are pretty close. In today’s episode, we welcome Board-Certified MD Anesthesiologist, Dr. Dallen Mill, to discuss the pros and cons of our favored anesthetics and one non-pharmaceutical option that is as simple as it is effective. We open with Precedex, how it works, and how we can better understand its effects by brushing up on our knowledge of the autonomic nervous system. Then, we explore the side effects of Precedex, assess its onset rate, and discuss its other uses before diving into Remifentanil, its fast-working properties, warning signs to remember, and how to use the drug safely. After a brief interlude on the value of doing close case reviews, we end by examining one non-pharmaceutical technique that will calm your child in preparation for their surgery. And be sure to listen in to learn how playing hockey has improved Dr. Mill’s life as a surgeon!


Key Points From This Episode:

  • Dr. Mill’s professional training, history, and his current practice setup. 
  • Preferred alternative medications for implant and third molar cases. 
  • Understanding how Precedex works with a refresher on the autonomic nervous system.     
  • Some side effects to consider when taking Precedex, and assessing its onset rate. 
  • Other ways to use Precedex.
  • An introduction to the lightning-quick Remifentanil and why it’s so short-acting.  
  • Remifentanil warnings and how to use the drug safely. 
  • An interlude on the value of close case reviews. 
  • Taking a closer look at Precedex and Remifentanil doses. 
  • A non-pharmaceutical technique that is worth exploring. 
  • How hockey has improved his work and other rapid-fire answers from Dr. Mill. 
  • His parting words of wisdom.


Links Mentioned in Today’s Episode:

Dr. Dallen Mill on LinkedIn — https://www.linkedin.com/in/dallen-mill-055338/ 

Dr. Dallen Mill on Instagram — https://www.instagram.com/dallenmillmd/ 

Dr. Dallen Mill Email — dr.mill@pvanesthesia.com

Peak View Anesthesia — https://www.pvanesthesia.com/  

Percy Jackson and the Olympianshttps://www.imdb.com/title/tt12324366/  

Sherlockhttps://www.imdb.com/title/tt1475582/ 

KLS Martin — https://www.klsmartin.com/en/   

KLS Martin 35% Discount Code — StuckiFavs 

Dr. Stucki’s KLS Martin Instrument List & Instruction Video — https://www.klsmartin.com/dr-stucki-instruments 

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059