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
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
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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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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1754820877169459200 |