Efeito de anestésicos locais com e sem vasoconstritor em pacientes com arritmias ventriculares

Cáceres, Maria Teresa Fernández; Ludovice, Ana Cristina; Brito, Fábio Sândoli de; Darrieux, Francisco; Neves, Ricardo Simões; Scanavacca, Maurício; Sosa, Eduardo; Hachul, Denise Tessariol

doi:10.1590/s0066-782x2008001500002

Cited by 31 publications

(23 citation statements)

References 8 publications

(8 reference statements)

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“…The target value for PRQ has been determined to be less than 1.0 8 . Previous studies have searched the hemodynamic effects of vasoconstrictor containing local anesthetic solutions 1,4,12 ; and such studies for plain solutions are also few 6,9,17,26 . Therefore, the purpose of this study was to compare the hemodynamic effects of three different anesthetic solutions without vasoconstrictors during tooth extraction in hypertensive patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of hemodynamic effects of lidocaine, prilocaine and mepivacaine solutions without vasoconstrictor in hypertensive patients

et al. 2010

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ObjectiveLocal anesthetic solutions with vasoconstrictors are not contraindicated in hypertensive patients, but due to their hemodynamic effects, local anesthetics without vasoconstrictors are mainly preferred by the clinicians. The aim of this study was to compare hemodynamic effects of three different local anesthetics without vasoconstrictors during tooth extraction in hypertensive patients.Material and MethodsSixty-five mandibular molars and premolars were extracted in 60 hypertensive patients (29 females and 31 males; mean age: 66.95 ± 10.87 years; range: 38 to 86 years old). Inferior alveolar and buccal nerve blocks were performed with 2% lidocaine hydrochloride (HCl), 2% prilocaine HCl or 3% mepivacaine HCl without vasoconstrictor. Hemodynamic parameters namely systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), saturation rate (SR), rate pressure product (RPP) and pressure rate quotient (PRQ) were investigated before and at different intervals after anesthetic injection.ResultsThe hemodynamic effects of the three agents were similar to each other, although some significance was observed for DBP, MAP, RPP and PRQ values in the lidocaine, prilocaine and mepivacaine groups.ConclusionLidocaine, prilocaine and mepivacaine solutions without vasoconstrictor can be safely used in hypertensive patients. It is advisable that dental practitioners select anesthetic solutions for hypertensive patients considering their cardiovascular effects in order to provide patient comfort and safety.

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Section: Introductionmentioning

confidence: 99%

Comparison of hemodynamic effects of lidocaine, prilocaine and mepivacaine solutions without vasoconstrictor in hypertensive patients

et al. 2010

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“…Por otro lado, las repercusiones sistémicas y cardiovasculares del uso de vasoconstrictores locales para procedimientos dentarios son muy limitadas según algunos estudios (11)(12)(13)(14)(15). Por esto, pueden ser usados anestésicos con vasoconstrictor en pacientes con la SK, desde que sean atendidas las dosis apropiadas para su edad y que las condiciones clínicas cardiovasculares estén controladas.…”

Section: Discussionunclassified

Consideraciones orales del síndrome de Kawasaki: Descripción de un caso clínico

Figueiredo¹,

Pires²,

Faustino-Silva³

et al. 2010

Av Odontoestomatol

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Figueiredo MC, Pires PDS, Faustino-Silva DD, Cernicchiaro MO, Squef R. Consideraciones orales del síndrome de Kawasaki: Descripción de un caso clínico AVANCES EN ODONTOESTOMATOLOGÍA/203 RESUMENEl objetivo del presente estudio es presentar un caso clínico y revisar la literatura existente sobre el Síndrome de Kawasaki (SK) tan frecuente en pacientes con necesidades especiales. Las características clínicas de esta patología se observan ya en niños muy jóvenes, en la gran mayoría de los casos menores de 5 años de edad. Esta es una patología que puede llevar al óbito, pues revela un compromiso cardíaco importante. Hay señales y síntomas en la cavidad oral en la fase aguda de la enfermedad, como la lengua de ¨frambuesa¨, eritema con fisura labial y eritema en la mucosa oral, siendo importante que el dentista tenga el conocimiento de esta patología y encamine el paciente para tratamiento médico con urgencia. Se observó en este caso una característica peculiar, que es la retención prolongada de la dentición temporaria. Una vez diagnosticado y tratado, el conocimiento del Síndrome de Kawasaki permite al dentista planear con seguridad un tratamiento dentario a largo plazo. Con eso puede evitarse que los dientes permanentes erupcionen ectópicamente, así como también mantener una profilaxis bucal de rutina, preservando la salud oral de los pacientes portadores de este síndrome.Palabras clave: Síndrome de Kawasaki, síndrome mucocutáneo linfonodular, cavidad oral, paciente con necesidades especiales, aneurisma coronario. SUMMARYThe aim of this study is to review what literature presents about Kawasaki Disease (KD), common in patients with special needs. Clinical evidence of this pathology may be observed in young children, who are usually less than five years old. This pathology may lead patients to death since it involves serious heart conditions. There are signs and symptoms in the oral cavity during the acute phase, for example "strawberry" tongue, red lesions with lips fissure and red lesions of oral mucous. Therefore it is important for the dentist to know about this pathology in order to send the patient to urgent medical treatment. A peculiar characteristic was observed in this case, long term retention of temporary dentition. Once the disease has been diagnosed and treated, it Consideraciones orales del síndrome de Kawasaki: Descripción de un caso clínico

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“…13 As principais recomendações para prevenir a AP e o IAM na clínica odontológica consistem em: 8. Uso seguro de anestésico local com vasoconstritor não-adrenérgico (prilocaína e lidocaína com felipressina) em doses adequadas no procedimento odontológico de pacientes chagásicos e coronarianos com arritmia ventricular complexa; 9 9. Tratar pacientes infartados com novas recomendações que possibilitam intervenções pós-infarto num período inferior a seis meses e a realização de cirurgia sem a suspensão de anticoagulante oral prevenindo novas lesões isquêmicas secundárias à formação de trombos, sendo adotada após minuciosa avaliação cardiológica e clínico-laboratorial da hemostasia do paciente; 17 10.…”

Section: Prevençãounclassified

Emergências Odontológicas em Dor no Peito

Neto

2016

Rev. bras. ciênc. Saúde

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Efeito de anestésicos locais com e sem vasoconstritor em pacientes com arritmias ventriculares

Abstract: SummaryBackground: The use of local anesthetics associated to vasoconstrictors for the dental treatment of patients with cardiopathies is still controversial, due to the risk of adverse cardiovascular effects.

Cited by 31 publications

References 8 publications

Comparison of hemodynamic effects of lidocaine, prilocaine and mepivacaine solutions without vasoconstrictor in hypertensive patients

Comparison of hemodynamic effects of lidocaine, prilocaine and mepivacaine solutions without vasoconstrictor in hypertensive patients

Consideraciones orales del síndrome de Kawasaki: Descripción de un caso clínico

Emergências Odontológicas em Dor no Peito

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