Anxiety, Arrhythmias
Conditions
Keywords
Anesthesia, Local, Lidocaine, Dental care, Arrhythmias, Cardiac, Anxiety
Brief summary
Prospective, randomized double-blinded study to investigate hemodynamic changes in valvular cardiac patients during dental treatment with the use of a local anesthesia containing epinephrine.
Detailed description
Patients with valvular disease constitute a group in which local anesthesia must be effective to avoid higher release of endogenous catecholamines that could trigger hemodynamic. The study was conducted in the Dental Department of the Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Brazil). Patients were allocated into two groups through an aleatory numbered table: PL (plain 2% lidocaine, n= 31) and LE (2% lidocaine with 1:100.000 epinephrine, n= 28). The anesthetic amount was registered. DIXTAL monitor (São Paulo- Brazil) captured blood pressure, heart rate, oxygenation and electrocardiogram records.
Interventions
None listed
Sponsors
University of Sao Paulo
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients with acquired valvular disease
Exclusion criteria
* Patients having platelets counting lower than 70.000 or INR \> 3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| arrhythmias | during procedure |
Secondary
| Measure | Time frame |
|---|---|
| Arterial pressure | during procedure |
| anxiety | during and imediately after procedure |
Countries
Brazil
Outcome results
None listed