Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients

Detalhes bibliográficos
Autor(a) principal: da Costa, Tatiany Bertollo Cozer Ribeiro
Data de Publicação: 2018
Outros Autores: Cabral, Antônio de Melo, Cançado, Renata Pittella
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista odonto ciência (Online)
Texto Completo: https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/29848
Resumo: OBJECTIVE: Evaluate the cardiovascular effects by infiltration of 1:100.000 epinephrine and 1:2.500 phenylephrine associated with 2% lidocaine compared with the effects by infiltration of 0.03 IU/ml felypressin with 3% prilocaine, during surgery of third molars in ASA I patients.METHODS: Eighteen patients were divided into two groups. In group I (GI), the effects of epinephrine vs felypressin were evaluated and in group II (GII), the effects of phenylephrine vs felypressin. Cardiovascular parameters: systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and oxygen saturation (SatO2) were measured in pre, trans and post-operative periods.RESULTS: Statistical analysis (T-TEST) on the cardiovascular parameters demonstrated with significance that, GI: felypressin presented HR average reduction in the postoperative period and SatO2 average reduction in trans and postoperative periods. For GII: felypressin presented SatO2 average reduction in the postoperative period; SBP averages for patients submitted to phenylephrine increased in trans and postoperative periods; and DBP averages for patients submitted to phenylephrine increased in pre and trans-operative periods.COCLUSION: We can conclude that phenylephrine may lead to increased SBP and DBP and felypressin generated a reduction in HR and SatO2. All these changes were well tolerated by ASA I patients.
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spelling Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patientsComparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patientsfelypressinepinephrinevasoconstrictors agentsblood pressureoral surgery.Original articlefelypressinepinephrinevasoconstrictors agentsblood pressureoral surgery.OBJECTIVE: Evaluate the cardiovascular effects by infiltration of 1:100.000 epinephrine and 1:2.500 phenylephrine associated with 2% lidocaine compared with the effects by infiltration of 0.03 IU/ml felypressin with 3% prilocaine, during surgery of third molars in ASA I patients.METHODS: Eighteen patients were divided into two groups. In group I (GI), the effects of epinephrine vs felypressin were evaluated and in group II (GII), the effects of phenylephrine vs felypressin. Cardiovascular parameters: systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and oxygen saturation (SatO2) were measured in pre, trans and post-operative periods.RESULTS: Statistical analysis (T-TEST) on the cardiovascular parameters demonstrated with significance that, GI: felypressin presented HR average reduction in the postoperative period and SatO2 average reduction in trans and postoperative periods. For GII: felypressin presented SatO2 average reduction in the postoperative period; SBP averages for patients submitted to phenylephrine increased in trans and postoperative periods; and DBP averages for patients submitted to phenylephrine increased in pre and trans-operative periods.COCLUSION: We can conclude that phenylephrine may lead to increased SBP and DBP and felypressin generated a reduction in HR and SatO2. All these changes were well tolerated by ASA I patients.OBJECTIVE: Evaluate the cardiovascular effects by infiltration of 1:100.000 epinephrine and 1:2.500 phenylephrine associated with 2% lidocaine compared with the effects by infiltration of 0.03 IU/ml felypressin with 3% prilocaine, during surgery of third molars in ASA I patients.METHODS: Eighteen patients were divided into two groups. In group I (GI), the effects of epinephrine vs felypressin were evaluated and in group II (GII), the effects of phenylephrine vs felypressin. Cardiovascular parameters: systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and oxygen saturation (SatO2) were measured in pre, trans and post-operative periods.RESULTS: Statistical analysis (T-TEST) on the cardiovascular parameters demonstrated with significance that, GI: felypressin presented HR average reduction in the postoperative period and SatO2 average reduction in trans and postoperative periods. For GII: felypressin presented SatO2 average reduction in the postoperative period; SBP averages for patients submitted to phenylephrine increased in trans and postoperative periods; and DBP averages for patients submitted to phenylephrine increased in pre and trans-operative periods.COCLUSION: We can conclude that phenylephrine may lead to increased SBP and DBP and felypressin generated a reduction in HR and SatO2. All these changes were well tolerated by ASA I patients. *** Comparação entre os efeitos cardiovasculares da adrenalina e fenilefrina associadas à lidocaína e os efeitos da felipressina com a prilocaína durante a anestesia intrabucal em pacientes ASA I ***OBJETIVO: Avaliar os efeitos cardiovasculares da infiltração de adrenalina 1:100.000 e fenilefrina 1:2.500 associadas à lidocaína a 2% comparados com os efeitos da felipressina 0,03 UI/ml associada à prilocaína a 3% durante a cirurgia de terceiros molares em pacientes ASA I.MEDOTODOLOGIA: Dezoito voluntários foram divididos em dois grupos. No grupo I (GI), adrenalina vs felipressina e, no grupo II (GII), fenilefrina vs felipressina. Os parâmetros de frequência cardíaca (FC), saturação de oxigênio (SatO2), pressão arterial sistólica (PAS) e pressão arterial diastólica (PAD) foram avaliados nos períodos pré, trans e pós-operatórios.RESULTADOS: A análise estatística feita através do teste t pareado demonstrou que, no GI, a felipressina apresentou redução na FC no período pós-operatório e redução na SatO2 nos períodos trans e pós-operatórios. No GII, a felipressina apresentou redução de SatO2 no período pós-operatório. As PAS para os pacientes submetidos à fenilefrina apresentaram-se aumentadas nos períodos trans e pós-operatórios e as PAD para os pacientes submetidos à fenilefrina apresentaram-se aumentadas nos períodos pré e trans-operatórios.CONCLUSÃO: A partir destes resultados podemos concluir que a fenilefrina pode acarretar aumento da PAS e PAD e a felipressina gerou uma redução na FC e SatO2 alterações essas bem toleradas por estes pacientesPalavras-chave: anestésicos locais; vasoconstritores; parâmetros cardiovasculares.EDIPUCRS - Editora Universitária da PUCRS2018-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Articleexperimentalapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/2984810.15448/1980-6523.2018.1.29848Revista Odonto Ciência; Vol. 33 No. 1 (2018); 53-57Revista Odonto Ciência; v. 33 n. 1 (2018); 53-571980-65230102-946010.15448/1980-6523.2018.1reponame:Revista odonto ciência (Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/29848/17887Copyright (c) 2019 Revista Odonto Ciênciainfo:eu-repo/semantics/openAccessda Costa, Tatiany Bertollo Cozer RibeiroCabral, Antônio de MeloCançado, Renata Pittella2019-04-24T17:19:21Zoai:ojs.revistaseletronicas.pucrs.br:article/29848Revistahttps://revistaseletronicas.pucrs.br/ojs/index.php/foPRIhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/oai||odontociencia@pucrs.br1980-65230102-9460opendoar:2019-04-24T17:19:21Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
title Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
spellingShingle Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
da Costa, Tatiany Bertollo Cozer Ribeiro
felypressin
epinephrine
vasoconstrictors agents
blood pressure
oral surgery.
Original article
felypressin
epinephrine
vasoconstrictors agents
blood pressure
oral surgery.
title_short Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
title_full Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
title_fullStr Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
title_full_unstemmed Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
title_sort Comparison between cardiovascular effects of adrenaline and phenylephrine associated with lidocaine and the effects of felypressin with prilocaine during intrabucal anesthesia in ASA I patients
author da Costa, Tatiany Bertollo Cozer Ribeiro
author_facet da Costa, Tatiany Bertollo Cozer Ribeiro
Cabral, Antônio de Melo
Cançado, Renata Pittella
author_role author
author2 Cabral, Antônio de Melo
Cançado, Renata Pittella
author2_role author
author
dc.contributor.author.fl_str_mv da Costa, Tatiany Bertollo Cozer Ribeiro
Cabral, Antônio de Melo
Cançado, Renata Pittella
dc.subject.por.fl_str_mv felypressin
epinephrine
vasoconstrictors agents
blood pressure
oral surgery.
Original article
felypressin
epinephrine
vasoconstrictors agents
blood pressure
oral surgery.
topic felypressin
epinephrine
vasoconstrictors agents
blood pressure
oral surgery.
Original article
felypressin
epinephrine
vasoconstrictors agents
blood pressure
oral surgery.
description OBJECTIVE: Evaluate the cardiovascular effects by infiltration of 1:100.000 epinephrine and 1:2.500 phenylephrine associated with 2% lidocaine compared with the effects by infiltration of 0.03 IU/ml felypressin with 3% prilocaine, during surgery of third molars in ASA I patients.METHODS: Eighteen patients were divided into two groups. In group I (GI), the effects of epinephrine vs felypressin were evaluated and in group II (GII), the effects of phenylephrine vs felypressin. Cardiovascular parameters: systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and oxygen saturation (SatO2) were measured in pre, trans and post-operative periods.RESULTS: Statistical analysis (T-TEST) on the cardiovascular parameters demonstrated with significance that, GI: felypressin presented HR average reduction in the postoperative period and SatO2 average reduction in trans and postoperative periods. For GII: felypressin presented SatO2 average reduction in the postoperative period; SBP averages for patients submitted to phenylephrine increased in trans and postoperative periods; and DBP averages for patients submitted to phenylephrine increased in pre and trans-operative periods.COCLUSION: We can conclude that phenylephrine may lead to increased SBP and DBP and felypressin generated a reduction in HR and SatO2. All these changes were well tolerated by ASA I patients.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
experimental
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/29848
10.15448/1980-6523.2018.1.29848
url https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/29848
identifier_str_mv 10.15448/1980-6523.2018.1.29848
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/29848/17887
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista Odonto Ciência
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Revista Odonto Ciência
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv EDIPUCRS - Editora Universitária da PUCRS
publisher.none.fl_str_mv EDIPUCRS - Editora Universitária da PUCRS
dc.source.none.fl_str_mv Revista Odonto Ciência; Vol. 33 No. 1 (2018); 53-57
Revista Odonto Ciência; v. 33 n. 1 (2018); 53-57
1980-6523
0102-9460
10.15448/1980-6523.2018.1
reponame:Revista odonto ciência (Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Revista odonto ciência (Online)
collection Revista odonto ciência (Online)
repository.name.fl_str_mv Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv ||odontociencia@pucrs.br
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