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Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)

OBJECTIVES: This study analyzes hemodynamic changes in patients with cardiac valvular diseases submitted to dental treatment under local anesthesia containing epinephrine. METHODS: This randomized clinical trial was performed at the Dental Division of the Instituto do Coração do Hospital das Clínica...

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Autores principales: Laragnoit, Alessandra Batistela, Neves, Ricardo Simões, Neves, Itamara Lúcia Itagiba, Vieira, Joaquim Edson
Formato: Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666461/
https://www.ncbi.nlm.nih.gov/pubmed/19330241
http://dx.doi.org/10.1590/S1807-59322009000300005
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author Laragnoit, Alessandra Batistela
Neves, Ricardo Simões
Neves, Itamara Lúcia Itagiba
Vieira, Joaquim Edson
author_facet Laragnoit, Alessandra Batistela
Neves, Ricardo Simões
Neves, Itamara Lúcia Itagiba
Vieira, Joaquim Edson
author_sort Laragnoit, Alessandra Batistela
collection PubMed
description OBJECTIVES: This study analyzes hemodynamic changes in patients with cardiac valvular diseases submitted to dental treatment under local anesthesia containing epinephrine. METHODS: This randomized clinical trial was performed at the Dental Division of the Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Brazil). Patients were separated into two groups with the help of an aleatory number table: 2% plain lidocaine (PL, n= 31) and 2% lidocaine with epinephrine (1:100,000) (LE, n= 28). Blood pressure, heart rate, oxygenation and electrocardiogram data were all recorded throughout the procedure. State and trait anxiety levels were measured. RESULTS: Fifty-nine patients were selected for the LE group (n=28), with an average age of 40.3 ± 10.9, or for the PL group (n=31), age 42.2 ± 10.3. No differences were shown in blood pressure, heart rate and pulse oximetry values before, during and after local anesthesia injection between the two groups. State and trait anxiety levels were not different. Arrhythmias observed before dental anesthesia did not change in shape or magnitude after treatment. Complaints of pain during the dental procedure were more frequent within the PL group, which received a higher amount of local anesthesia. CONCLUSION: Lidocaine with epinephrine (1:100,000) provided effective local anesthesia. This treatment did not cause an increase in heart rate or blood pressure and did not cause any arrhythmic changes in patients with cardiac valvular diseases.
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spelling pubmed-26664612009-05-13 Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000) Laragnoit, Alessandra Batistela Neves, Ricardo Simões Neves, Itamara Lúcia Itagiba Vieira, Joaquim Edson Clinics Clinical Sciences OBJECTIVES: This study analyzes hemodynamic changes in patients with cardiac valvular diseases submitted to dental treatment under local anesthesia containing epinephrine. METHODS: This randomized clinical trial was performed at the Dental Division of the Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Brazil). Patients were separated into two groups with the help of an aleatory number table: 2% plain lidocaine (PL, n= 31) and 2% lidocaine with epinephrine (1:100,000) (LE, n= 28). Blood pressure, heart rate, oxygenation and electrocardiogram data were all recorded throughout the procedure. State and trait anxiety levels were measured. RESULTS: Fifty-nine patients were selected for the LE group (n=28), with an average age of 40.3 ± 10.9, or for the PL group (n=31), age 42.2 ± 10.3. No differences were shown in blood pressure, heart rate and pulse oximetry values before, during and after local anesthesia injection between the two groups. State and trait anxiety levels were not different. Arrhythmias observed before dental anesthesia did not change in shape or magnitude after treatment. Complaints of pain during the dental procedure were more frequent within the PL group, which received a higher amount of local anesthesia. CONCLUSION: Lidocaine with epinephrine (1:100,000) provided effective local anesthesia. This treatment did not cause an increase in heart rate or blood pressure and did not cause any arrhythmic changes in patients with cardiac valvular diseases. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2009-03 /pmc/articles/PMC2666461/ /pubmed/19330241 http://dx.doi.org/10.1590/S1807-59322009000300005 Text en Copyright © 2009 Hospital das Clínicas da FMUSP
spellingShingle Clinical Sciences
Laragnoit, Alessandra Batistela
Neves, Ricardo Simões
Neves, Itamara Lúcia Itagiba
Vieira, Joaquim Edson
Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)
title Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)
title_full Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)
title_fullStr Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)
title_full_unstemmed Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)
title_short Locoregional Anesthesia for Dental Treatment in Cardiac Patients: A Comparative Study of 2% Plain Lidocaine and 2% Lidocaine with Epinephrine (1:100,000)
title_sort locoregional anesthesia for dental treatment in cardiac patients: a comparative study of 2% plain lidocaine and 2% lidocaine with epinephrine (1:100,000)
topic Clinical Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666461/
https://www.ncbi.nlm.nih.gov/pubmed/19330241
http://dx.doi.org/10.1590/S1807-59322009000300005
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