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Effect of anesthetics containing lidocaine and epinephrine on cardiovascular changes during dental implant surgery.
Faraco, Fátima N; Kawakami, Paulo Y; Mestnik, Maria J; Ferrari, Daniel S; Shibli, Jamil A.
Afiliação
  • Faraco FN; Department of Peridontics and Implantology, School of Dentistry, University of Santo Amaro, SP, Brazil.
J Oral Implantol ; 33(2): 84-8, 2007.
Article em En | MEDLINE | ID: mdl-17520951
The purpose of this study was to evaluate cardiovascular changes during dental implant surgery using 2% lidocaine with 1:80 000 epinephrine. Eleven normotensive subjects, ranging from 18 to 56 years, were selected to undergo dental implant surgery in the jaw. They were monitored in the pre-, intra-, and postsurgical periods by continuous noninvasive automatic arterial pressure and cardiac frequency measurements taken every 2 minutes. Parameter scores were obtained for the following phases: P1, 15 minutes during preparation of the patient (control period); P2, before anesthesia; P3, immediately after anesthesia; P4, 2 minutes into anesthesia; P5, during incision and detachment; P6, during perforation; P7, during implant placement; P8, during suturing; P9, on completion; and P10, 10 minutes after termination. Individualized statistical analysis for each group during the pre-, intra-, and postoperative periods were performed by analysis of variance. The greatest variations in systolic pressure were increases of 2.29% during phase P2 and 2.59% in phase P5. Diastolic pressure decreased during phase P6 (-2.58%) and increased in P10 (3.27%). The greatest changes in heart rate occurred in phase P10 (-3.24%). There were no statistically significant changes among the evaluated phases (P > .05). In conclusion, there were no changes in the analyzed cardiocirculatory parameters during dental implant surgery (systolic, diastolic, and mean arterial blood pressures and heart rate) in normotensive subjects anesthetized with 2% lidocaine with epinephrine 1:80000.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pressão Sanguínea / Implantação Dentária Endóssea / Frequência Cardíaca / Anestesia Dentária Limite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Oral Implantol Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pressão Sanguínea / Implantação Dentária Endóssea / Frequência Cardíaca / Anestesia Dentária Limite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Oral Implantol Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos