offffice based anesthesia

Oral surgeons receive training in general anesthesia. I think about 3 months in their 2nd year. In residency we had a position for a DDS grad who generally wanted to do an oral surgery program but didn't match. This person ended up doing 2 0ne year stents and finally matched at an OMFS program in Cali. The next year we had another DDS with the same goal.

The surgeon performing an operation should not be solely providing a general anesthetic at the same time.

He or she should have an MDA or CRNA provide the general.

The purpose of OMFS residents training in anes is so they can safely provide sedation in their office.

In this case the girl should have beeen done in a hospital under the care of an Anesthesiologist.

Decadron was given for postop edema and possibly PONV.
Sodium Thiopental is fine but I use it only in patients allergic to components of propofol or in cases where cerebral protection is paramount for example the last time I induced with STP was a patient with cerebral herniation undergoing an emergency craniotomy. STP increases cerebral vascular resistance and being able to cause burst suppression is consdered better than others at reducing brain metabolism.
The choice of curare is bizarre. I'm not even sure you can get it. It would be inappropriate for Ambulatory Anes. because the potential for recurarization is real. I'm assuming the doctor did not use curare.
Scopolamine is a questionable drug in office based surgery. If given as an antisialogogue, robinul would have been a better choice. Scop crosses the blood brain barrier and can cause a central cholinergic syndrome with confusion, nightmares etc.. Generally it is used in a situation where for some reason the physician is worried about awareness. For instance in an injured bleeding patient undergoing emergency laparotomy wherer a general may be comprised of muscle relaxation, some judicios opiate and scop so the patient has no awareness.
curare is not a long acting morphine compound.
sublimaze is fentanyl and not reliable to "jog" memory. Even at pretty high doses combined with nitrous it is unreliable in providing amnesia and the doses necessary would be unsuitable for Ambulatory surgery.
The anesthetic technique appears unusual to me.

The real problem is that a proper workup was not done preop. An H&P by an anesthesiologist, including auscultation of the chest, and collaberation of the findings of this girl's cardiologist would have prevented this death.

Several times I hyave discovered murmurs of AS and even large abdominal aortic aneurysms in my patients during a preoperative assessment.

If this girl did have AS the anesthetic could have been altered to prvent her death.

How do you know what was given? Did you see the anesthesia record?