Changes in Blood Pressure and Pulse Rate of Patients without Systemic Diseases Following the Injection of 2% Lidocaine Plus Epinephrine 1:80000 in an Inferior Alveolar Nerve Block - A Prospective Study.
Arterial hypertension
epinephrine
inferior alveolar nerve block
lidocaine
pulse rate
Journal
Annals of maxillofacial surgery
ISSN: 2231-0746
Titre abrégé: Ann Maxillofac Surg
Pays: India
ID NLM: 101598423
Informations de publication
Date de publication:
Historique:
received:
13
08
2019
revised:
27
03
2020
accepted:
18
04
2020
entrez:
12
3
2021
pubmed:
13
3
2021
medline:
13
3
2021
Statut:
ppublish
Résumé
An inferior alveolar nerve block is dental anesthesia produced by the local injection of lidocaine plus epinephrine; however, its administration could cause cardiovascular side effects. We aimed to assess the changes in blood pressure and pulse rate following the injection of 2% lidocaine with epinephrine 1:80000 for an inferior alveolar nerve block. Seventy-one patients without any systemic disease were enrolled in this study. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate were measured using an automatic digital blood pressure monitor in four stages as follows: at the rest time (Stage 1), prior to injection (Stage 2), immediately after injection (Stage 3), and 10 min after the administration of anesthetic agents (Stage 4). All injections and measurements were carried out by a single operator to minimize the variability. SBP and DBP in all stages were within the normal range (lower than 130 and 80 mmHg, respectively), and none of the patients showed evidence of arterial hypertension. Although the pulse rate increased significantly at Stages 2, 3, and 4 compared with Stage 1 ( Local anesthesia with 2% lidocaine plus epinephrine 1:80000 for an inferior alveolar nerve block would be safe for patients without any systemic diseases.
Identifiants
pubmed: 33708580
doi: 10.4103/ams.ams_187_19
pii: AMS-10-361
pmc: PMC7943989
doi:
Types de publication
Journal Article
Langues
eng
Pagination
361-364Informations de copyright
Copyright: © 2020 Annals of Maxillofacial Surgery.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Masui. 1998 Aug;47(8):955-62
pubmed: 9753960
J Int Oral Health. 2015 Mar;7(3):24-7
pubmed: 25878474
J Oral Maxillofac Surg. 2008 Mar;66(3):453-61
pubmed: 18280377
BMC Urol. 2012 May 04;12:13
pubmed: 22559856
Korean J Anesthesiol. 2010 Dec;59 Suppl:S53-7
pubmed: 21286460
J Dent Anesth Pain Med. 2016 Jun;16(2):111-116
pubmed: 28879303
Oral Maxillofac Surg Clin North Am. 2013 Aug;25(3):453-65, vi
pubmed: 23660127
J Dent Anesth Pain Med. 2018 Oct;18(5):287-294
pubmed: 30402548
J Am Dent Assoc. 1999 Apr;130(4):496-9
pubmed: 10203899
Anesth Pain Med. 2014 Feb 15;4(1):e15444
pubmed: 24660158
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Jun;105(6):725-30
pubmed: 18485309
Isr J Med Sci. 1996 Sep;32(9):774-6
pubmed: 8865836
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Dec;92(6):610-6
pubmed: 11740477
Ann Maxillofac Surg. 2018 Jul-Dec;8(2):247-253
pubmed: 30693240
J Maxillofac Oral Surg. 2013 Mar;12(1):3-10
pubmed: 24431806
Spec Care Dentist. 1992 Mar-Apr;12(2):84-8
pubmed: 1440125
J Oral Maxillofac Surg. 2008 Nov;66(11):2226-32
pubmed: 18940484
J Craniofac Surg. 2012 Jul;23(4):1204-11
pubmed: 22801130
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Aug;100(2):e25-30
pubmed: 16037765
Anesth Prog. 2012 Summer;59(2):90-101; quiz 102-3
pubmed: 22822998
Anesth Prog. 2006 Fall;53(3):98-108; quiz 109-10
pubmed: 17175824
J Dent Anesth Pain Med. 2015 Sep;15(3):121-128
pubmed: 28879268