Changes of the cardiovascular system during intraligamentary anesthesia

• Format: Article
• Language: Russian
• Published: LLC "Endo Press" 2020-04-01
• Series: Эндодонтия Today
• Subjects: интралигаментарная анестезия; ила; мониторинг сердечно-сосудистой системы; 4% раствор артикаина с адреналином 1:100 000; сосудистые анестезии; intraligamentary anesthesia; ila; monitoring of cardiovascular system; 4% solution artikaina with epinephrine 1:100 000; vascular anesthesia
• Online Access: https://www.endodont.ru/jour/article/view/462
• ISSN: 1683-2981; 1726-7242

To goal of the research was in study the response of the cardiovascular system: blood pressure , heart rate in response to intraligamentary anesthesia (ILA) 4% solution articaine with epinephrine 1:100 000 in the treatment of caries and pulpitis. In the research took part 130 patients 1, 2 grade ASA. Monitoring of blood pressure and heart rate in three periods: before - 1, immediately after the ILA - 2 and after treatment - 3. Statistics: criterion t, computer software (Statgraphics). The biggest differences occurred between the indices of 2 and 3 period and less than 1 and 2. Most striking changes were in HR, SBP, and very little DBP. On average, immediately after injection indicators HR increased by 4.8 beats / min, SBP by 5 mm Hg. Increased blood pressure in hypertensive patients was highest. Dose of anesthetic solution, starting with 0.8 ml, exerted a significant influence only on heart rate. Reaction: anxiety, palpitations, headache occurred in 18 subjects and 4 as fainting. The maximum changes of cardiovascular system occur in the first minute after ILA. Monitoring before and after ILA needs.