Over 2,000 documented cases of general anesthesia and sedation delivered in dental settings, and a state appointment to evaluate the providers who do the same. Objective standard-of-care analysis for plaintiff and defense counsel, and clinical audits for dental service organizations.
The anesthesia permit is held by the anesthesiologist, who bears ultimate responsibility for confirming the facility meets minimum safety standards. I evaluate whether mandated equipment — suction, airway tools, monitors — was verified present and functional before induction.
A vast operational disparity separates a hospital or ASC from a dental office. I identify deviations where providers accustomed to institutional safety nets failed to account for the total shift in operational liability in an isolated setting.
In a dental office the anesthesia provider is independently responsible for the entire pre-anesthetic clearance process. I pinpoint where isolated pre-op protocols fail, leading to mismanagement of high-risk comorbidities.
Verification of emergency equipment is a non-delegable duty. Record review establishes whether functionality and expiration status of required emergency medications and supplies were checked prior to the start of the case.
California's regulations under Caleb's Law (SB 501) govern continuous monitoring, pediatric safety standards, and auxiliary staffing. I analyze compliance against the specific requirements applicable to the case.
For multi-location dental service organizations and private practices: comprehensive clinical audits that identify high-risk areas of exposure and modernize protocols to align facilities with current safety standards.
Verification documents and full curriculum vitae available on request.
My clinical practice is dedicated exclusively to sedation and anesthesia in the dental office setting — the same environment, equipment, and staffing conditions at issue in the cases I review.
I am the founder and chief executive of Los Angeles Dental Anesthesia, a mobile insurance-based practice delivering advanced sedation and general anesthesia for complex dental procedures, and I direct a daily team of anesthesiologists across numerous practices. That vantage gives a macro-level view of systemic error and the standard-of-care deviations a solo practitioner may never encounter.
As a General Anesthesia Evaluator appointed by the Dental Board of California, I inspect facilities and grade simulated clinical emergencies on behalf of the state — applying the same regulatory standard in the field that I apply to the record in litigation.
Yes. Case selection is based on the merits of the record and the absence of conflict, not on the side retaining me.
Dental anesthesia complications, standard-of-care adherence in outpatient sedation, dental facility compliance, and proceedings before the Dental Board of California. Also available to DSOs and carriers for pre-litigation clinical audits.
Party names for a conflict check, a summary of the allegations, and the anesthesia and dental records. An initial merits screen precedes any written opinion.
Objective case review and record analysis, consulting on strategy, written opinions and declarations, deposition, and testimony at hearing or trial.
A current fee schedule and retainer agreement are provided on request. All engagements are hourly and retainer-secured; no fee is contingent on outcome.
Conflict checks are returned promptly. Initial contact carries no obligation and no charge.