2020
DOI: 10.21608/bjas.2020.135407
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Anesthetic Considerations in Epilepsy

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“…3 4 The concern of systemic toxicity is especially relevant in patient with medical comorbid conditions such as cardiovascular diseases, hypertension, hyperthyroidism and epilepsy, where tolerance to the sudden high concentration of components of local anesthesia is reduced and the risk of toxicity is increased. [5][6][7][8][9] Intravascular injection of local anesthetic happens more often than realized. In fact, for inferior alveolar nerve block, which is most commonly administered nerve block in dentistry, 20% nerve block attempts may actually lead to intravascular injection.…”
Section: Introductionmentioning
confidence: 99%
“…3 4 The concern of systemic toxicity is especially relevant in patient with medical comorbid conditions such as cardiovascular diseases, hypertension, hyperthyroidism and epilepsy, where tolerance to the sudden high concentration of components of local anesthesia is reduced and the risk of toxicity is increased. [5][6][7][8][9] Intravascular injection of local anesthetic happens more often than realized. In fact, for inferior alveolar nerve block, which is most commonly administered nerve block in dentistry, 20% nerve block attempts may actually lead to intravascular injection.…”
Section: Introductionmentioning
confidence: 99%