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Pérusse, R; Goulet, J.; Turcotte, J Y

doi:10.1016/0030-4220(93)90284-b

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…However, greater concentrations (>1:50 000), or even the rapid intravascular injection of the cartridge of anesthetic solution, may have dangerous hemodynamic effects in patients with cardiovascular disease. 8,9,10 Over the years various aspiration techniques for blood were followed. The most accepted being the rule of ten second that includes slow aspiration (5 to 10 seconds), slow injection (5 to 10 seconds) slow withdrawal, no rubbing.…”

Section: Discussionmentioning

confidence: 99%

A study on the Aspiration Procedures in Syringes among Health Care Professionals

2020

IJFMT

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Aspiration during routine injection is meant to ensure that the injecting needle tip is at the anticipated location during this unsighted procedure. While injecting needle appears to be a simple procedure, it has produced a lot of controversy regarding the apparent benefits and indications. Keeping in view the huge number of injections given worldwide, it is observed that key questions regarding aspiration till now, remain unanswered. Due to very smaller number of studies and data in the literature there is no evidence of particular injecting procedure as truly beneficial or unjustified. The present integrative review was chosen to draw conclusions about the current state of knowledge and practice of aspiration and use of syringes among medical, paramedical and dental practitioners. On analyzing the questionnaire output data's, it was observed that most sound knowledge practitioners found difficulty in usage of syringes and forget to aspirate due to nervousness during injection resulting in positive aspiration (p<0.05) during the procedure. Henceforth a new invention in the syringe for safer and easier use or a standard injecting technique with aspiration protocol have to be established to avoid complications due to difficulty in usage of syringes during minor or major surgical procedures.

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Section: Discussionmentioning

confidence: 99%

A study on the Aspiration Procedures in Syringes among Health Care Professionals

2020

IJFMT

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“…Patients with hypertension are considered a high-risk group when they are administered local anaesthesia with a vasoconstrictor because epinephrine shows a high potential to increase BP levels and thus leads to the possibility of suffering a cardiovascular event. 30,31 However, international guidelines determine that it is safe to use local anaesthetics containing epinephrine in stage 1 hypertensive patients. 29 In 1964, the American Dental Association (ADA) and American Heart Association (AHA) established that local anaesthetic solutions containing normal concentrations of a vasoconstrictor were not contraindicated in cardiovascular patients, although they were patients for whom adequate monitoring and aspiration should be performed.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Dental Treatments on Blood Pressure Variations

González

González-Martín²,

Olmo-Villaseca³

et al. 2019

Cumhuriyet Dental Journal

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Objectives: The aim was to determine whether there are alterations in the fluctuations of systolic and diastolic blood pressure or the heart rate of normotensive versus hypertensive participants undergoing antihypertensive treatment during surgical and non-surgical dental treatments, regarding whether or not anaesthetics were used with a vasoconstrictor. Materials and methods: A prospective, observational, epidemiological study was conducted in a sample of 200 participants older than 65 years (100 normotensive and 100 hypertensive participants on antihypertensive treatment). Five periods for evaluation were established. Demographic information was obtained regarding whether or not anaesthetics were used (with or without a vasoconstrictor) and whether or not the participants underwent surgical treatment. The statistical analysis consisted of a doubly multivariate analysis of repeated measures for multiple dependent variables. Results: Significant differences were observed in the evolution of systolic blood pressure, with an initial increase in participants undergoing surgical treatment and those without a vasoconstrictor. On the other hand, systolic blood pressure decreased with non-surgical treatments, but it remained stable with the use of a vasoconstrictor. Diastolic blood pressure showed no interaction effect in participants undergoing surgical or non-surgical treatments; with the use of a vasoconstrictor, it initially decreased, while in the absence of a vasoconstrictor, it increased. Heart rate initially decreased in participants undergoing surgical and non-surgical treatments and was analogous whether or not a vasoconstrictor was used. Conclusions: During blood pressure monitoring, blood pressure variations occur, but there is no clinical repercussion in participants because once the treatment is completed, the initial values are recovered. Arterial hypertension is a pathology of high prevalence that tends to increase with age. The blood pressure response to surgical and non-surgical dental treatments and the effect of local anaesthetics is important because follow-up and blood pressure control in older patient cohorts can improve dental and clinical management.

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“…For many years, it was believed that thyroid hormone and epinephrine interacted synergistically to create these effects. 46 Nevertheless, evidence has accumulated over the last three decades to show that hemodynamic responses to epinephrine and norepinephrine are not significantly altered in the patient with hyperthyroidism.…”

Section: Thyroid Hormonesmentioning

confidence: 99%

Adverse Drug Interactions in Dental Practice: Interactions Associated With Vasoconstrictors

Yagiela¹

1999

The Journal of the American Dental Association

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Reply

Cited by 3 publications

References 8 publications

A study on the Aspiration Procedures in Syringes among Health Care Professionals

A study on the Aspiration Procedures in Syringes among Health Care Professionals

The Impact of Dental Treatments on Blood Pressure Variations

Adverse Drug Interactions in Dental Practice: Interactions Associated With Vasoconstrictors

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