Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Odontologia da UNESP |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000500299 |
Resumo: | Abstract Introduction The dental patient’s anxiety and expectation may significantly alter their vital signs. The use of local anesthetics associated with a vasoconstrictor may also alter the vital signs of these patients, promoting hemodynamic changes that may result in emergency situations. Objective To evaluate the influence of anxiety of patients submitted to third molar extraction and the use of different anesthetic substances with adrenaline on their vital signs (oxygen saturation, heart rate, and systolic and diastolic blood pressure) in different moments. Material and method Forty patients answered the questionnaire of the Dental Anxiety Scale (Corah’s Scale) and fear (KleinKnecht’s Scale) and were submitted to third molar extraction in two surgical times for the use of articaine or mepivacaine, both associated with adrenaline. The results were analyzed by ANOVA followed by Tukey post hoc test, Student's t test, and Pearson's correlation coefficients (α=0.05). Result There was no significant differences in saturation or heart rate. The blood pressure showed significant variations during time for both anesthetics, however mepivacaine resulted in a longer postoperative time to restore blood pressure. Patients with high or moderate anxiety and high fear index were those who had positive correlations with the highest blood pressure values. Conclusion Anxiety and fear positively influence the increase in blood pressure. Mepivacaine promoted a greater resistance to the return of normal vital signs, especially blood pressure levels. |
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Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesiaAnxietyfearvital signsblood pressurelocal anestheticAbstract Introduction The dental patient’s anxiety and expectation may significantly alter their vital signs. The use of local anesthetics associated with a vasoconstrictor may also alter the vital signs of these patients, promoting hemodynamic changes that may result in emergency situations. Objective To evaluate the influence of anxiety of patients submitted to third molar extraction and the use of different anesthetic substances with adrenaline on their vital signs (oxygen saturation, heart rate, and systolic and diastolic blood pressure) in different moments. Material and method Forty patients answered the questionnaire of the Dental Anxiety Scale (Corah’s Scale) and fear (KleinKnecht’s Scale) and were submitted to third molar extraction in two surgical times for the use of articaine or mepivacaine, both associated with adrenaline. The results were analyzed by ANOVA followed by Tukey post hoc test, Student's t test, and Pearson's correlation coefficients (α=0.05). Result There was no significant differences in saturation or heart rate. The blood pressure showed significant variations during time for both anesthetics, however mepivacaine resulted in a longer postoperative time to restore blood pressure. Patients with high or moderate anxiety and high fear index were those who had positive correlations with the highest blood pressure values. Conclusion Anxiety and fear positively influence the increase in blood pressure. Mepivacaine promoted a greater resistance to the return of normal vital signs, especially blood pressure levels.Universidade Estadual Paulista Júlio de Mesquita Filho2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000500299Revista de Odontologia da UNESP v.46 n.5 2017reponame:Revista de Odontologia da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESP10.1590/1807-2577.02917info:eu-repo/semantics/openAccessDANTAS,Marcos Vinícius MendesNESSO,BiancaMITUUTI,Daniel SagawaGABRIELLI,Marisa Aparecida Cabrinieng2017-10-31T00:00:00Zoai:scielo:S1807-25772017000500299Revistahttps://www.revodontolunesp.com.br/PUBhttps://old.scielo.br/oai/scielo-oai.php||adriana@foar.unesp.br1807-25770101-1774opendoar:2017-10-31T00:00Revista de Odontologia da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
title |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
spellingShingle |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia DANTAS,Marcos Vinícius Mendes Anxiety fear vital signs blood pressure local anesthetic |
title_short |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
title_full |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
title_fullStr |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
title_full_unstemmed |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
title_sort |
Assessment of patient’s anxiety and expectation associated with hemodynamic changes during surgical procedure under local anesthesia |
author |
DANTAS,Marcos Vinícius Mendes |
author_facet |
DANTAS,Marcos Vinícius Mendes NESSO,Bianca MITUUTI,Daniel Sagawa GABRIELLI,Marisa Aparecida Cabrini |
author_role |
author |
author2 |
NESSO,Bianca MITUUTI,Daniel Sagawa GABRIELLI,Marisa Aparecida Cabrini |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
DANTAS,Marcos Vinícius Mendes NESSO,Bianca MITUUTI,Daniel Sagawa GABRIELLI,Marisa Aparecida Cabrini |
dc.subject.por.fl_str_mv |
Anxiety fear vital signs blood pressure local anesthetic |
topic |
Anxiety fear vital signs blood pressure local anesthetic |
description |
Abstract Introduction The dental patient’s anxiety and expectation may significantly alter their vital signs. The use of local anesthetics associated with a vasoconstrictor may also alter the vital signs of these patients, promoting hemodynamic changes that may result in emergency situations. Objective To evaluate the influence of anxiety of patients submitted to third molar extraction and the use of different anesthetic substances with adrenaline on their vital signs (oxygen saturation, heart rate, and systolic and diastolic blood pressure) in different moments. Material and method Forty patients answered the questionnaire of the Dental Anxiety Scale (Corah’s Scale) and fear (KleinKnecht’s Scale) and were submitted to third molar extraction in two surgical times for the use of articaine or mepivacaine, both associated with adrenaline. The results were analyzed by ANOVA followed by Tukey post hoc test, Student's t test, and Pearson's correlation coefficients (α=0.05). Result There was no significant differences in saturation or heart rate. The blood pressure showed significant variations during time for both anesthetics, however mepivacaine resulted in a longer postoperative time to restore blood pressure. Patients with high or moderate anxiety and high fear index were those who had positive correlations with the highest blood pressure values. Conclusion Anxiety and fear positively influence the increase in blood pressure. Mepivacaine promoted a greater resistance to the return of normal vital signs, especially blood pressure levels. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000500299 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000500299 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1807-2577.02917 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade Estadual Paulista Júlio de Mesquita Filho |
publisher.none.fl_str_mv |
Universidade Estadual Paulista Júlio de Mesquita Filho |
dc.source.none.fl_str_mv |
Revista de Odontologia da UNESP v.46 n.5 2017 reponame:Revista de Odontologia da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Revista de Odontologia da UNESP |
collection |
Revista de Odontologia da UNESP |
repository.name.fl_str_mv |
Revista de Odontologia da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
||adriana@foar.unesp.br |
_version_ |
1748958560290603008 |