Effectiveness of Leg Raise and Leg Fold Maneuver to Prevent Syncope During Extraction of Teeth: A Pilot Study.
anxiety during exodontia
exodontia
extraction of teeth
leg raise and leg fold maneuver
prevention of syncope
syncope
syncope during extraction
vasovagal syncope
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
accepted:
31
01
2023
entrez:
6
3
2023
pubmed:
7
3
2023
medline:
7
3
2023
Statut:
epublish
Résumé
Objectives The primary objective of this study is to evaluate the effectiveness of leg raise and leg fold maneuvers to prevent syncope during extraction procedures. Methods This study included 30 patients with a previous history of syncope and dental anxiety. Patients were randomly divided into two groups consisting of 15 patients each. Group I (test group) patients were educated about a few physical maneuvers, and instructions were given preoperatively about when to perform them. Group II (control group) underwent extraction conventionally. The blood pressure, saturation, pulse rate, and clinical signs and symptoms of the patients were assessed preoperatively, intraoperatively, and postoperatively. Informed consent was obtained from all the patients. Results There is a significant difference between the control and study groups in terms of the occurrence of syncope and patient comfort. This indicates that the leg raise and leg fold maneuvers reduce the occurrence of syncope during extraction. No participant in the test group experienced syncope post-treatment, while five subjects (33.3%) experienced syncope in the control group. Conclusion Physical counterpressure maneuvers are a risk-free, effective, and low-cost treatment method in patients with vasovagal syncope. Leg raise and leg fold maneuvers improved the hemodynamics of the patients.
Identifiants
pubmed: 36874341
doi: 10.7759/cureus.34488
pmc: PMC9982758
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e34488Informations de copyright
Copyright © 2023, M et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Dent Anesth Pain Med. 2015 Jun;15(2):53-61
pubmed: 28879259
J Appl Physiol. 1970 Jun;28(6):758-61
pubmed: 5419497
Circ Res. 1981 Jun;48(6 Pt 2):I118-30
pubmed: 7226455
Med Sci Sports Exerc. 1980;12(3):145-7
pubmed: 7402047
BMC Oral Health. 2007 Oct 10;7:12
pubmed: 17927808
Anesth Prog. 2006 Spring;53(1):20-4
pubmed: 16722281
J Am Dent Assoc. 1997 Jul;128(7):843-54
pubmed: 9231599
Age Ageing. 2010 Jul;39(4):465-70
pubmed: 20444805
Eur Heart J. 2009 Nov;30(21):2631-71
pubmed: 19713422
J Cardiovasc Med (Hagerstown). 2021 Feb 1;22(2):69-78
pubmed: 32925389
J Appl Physiol (1985). 1989 Nov;67(5):1801-6
pubmed: 2600014
J Am Coll Cardiol. 2002 Dec 4;40(11):2053-9
pubmed: 12475469
Aust Dent J. 2006 Mar;51(1):78-85
pubmed: 16669482
J Physiol. 1971 Jul;215(3):789-804
pubmed: 5090995
Br Dent J. 1999 Feb 13;186(3):125-30
pubmed: 10101908
Circ J. 2005 Sep;69(9):1084-8
pubmed: 16127191
Heart Rhythm. 2015 Jun;12(6):e41-63
pubmed: 25980576
Br Dent J. 1999 Jan 23;186(2):72-9
pubmed: 10079576
Int Dent J. 2013 Dec;63(6):312-6
pubmed: 24716245
Clin Auton Res. 2008 Jun;18(3):127-33
pubmed: 18449594
Yonsei Med J. 2010 Jul;51(4):499-503
pubmed: 20499413
Aust Dent J. 2013 Dec;58(4):390-407; quiz 531
pubmed: 24320894
J Appl Physiol Respir Environ Exerc Physiol. 1983 Feb;54(2):434-7
pubmed: 6833040
J Cardiovasc Electrophysiol. 2006 Nov;17(11):1172-6
pubmed: 17074006
Can J Cardiol. 2020 Jan;36(1):79-83
pubmed: 31810744
J Dent. 1978 Sep;6(3):189-95
pubmed: 279573
J Gerontol A Biol Sci Med Sci. 2005 Sep;60(9):1202-5
pubmed: 16183963
Thromb Res. 2018 Apr;164:85-89
pubmed: 29522911