1/4/2017 LocalAnesthesiainDentistry:USEOFLOCALANESTHETICSDURINGPREGNANCYAnesthesiaProgressBlog

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LocalAnesthesiainDentistry:USEOFLOCAL Bloginvitessubmissionsofreview
articles,reportsonclinicaltechniques,
Sep
ANESTHETICSDURINGPREGNANCY casereports,conferencesummaries,
IN:ANESTHESIA
andarticlesofopinionpertinenttothe
controlofpainandanxietyindentistry.
2009
Theadversedrugreactionsduringpregnancymayaffecteitherthemotherorthe
fetus.Hypersensitivity,allergy,ortoxicityreactionsinthemothermaycompromiseher
healthandlimitherabilitytosupportapregnancy.Fortunately,dosesoflocal Photostream
anestheticsindentistryareusuallyrelativelysmallandaregenerallyunlikelytocause
complicationsduringpregnancy.Alllocalanestheticscrosstheplacentatosome
degree.Highestconcentrationsinthefetalcirculationfollowinjectionofprilocaine,and
thelowestfollowbupivacaine,withlidocaineinbetween.

Felypressin,whichisaderivativeofvasopressinandisrelatedtooxytocin,hasthe
potentialtocauseuterinecontractions.Althoughthisisahighlyunlikelyeffectatthe
lowdoseoffelypressinusedinlocalanesthetics,itisbestavoidedduringpregnancy.
Lidocainewithepinephrineiscommonlyusedforpregnantdentalpatients.cheap
viagraprofessional

Theperformanceofcommondentaltreatmentsforapregnantpatientishighly
variable.Inatelephonesurveyusingastandardizedquestionnaire,78resident
dentistsinGermany,Switzerland,andAustriawereinterviewedwithrespecttoseveral
aspectsofthedentaltreatmentofpregnantwomen.Only58%oftheinterviewees
decidedclearlyinfavorofusinglocalanesthetics,59%supportedtheuseofanalgesics,
70%supportedapossibleantibiotictherapy,and33%wouldagreewitharadiological
Categories Archives
examinationduringpregnancy.Inaddition,accordingtoreferencesinthespecialist
AirflowObstruction June2016
literature,guidelinesforthedentaltreatment,drugtherapy,andradiologicaldiagnosis (10) May2016
ofpregnantwomenarepresented.Thelocalanestheticsshouldhaveahighplasma AirwaysDisease(5) March2016
proteinbondingcapability(Articaine,bupivacaine,etidocaine)andminimum Allergy(1) December2015
Amaryl(1) November2015
epinephrineconcentrations.Acetaminophenistheusualanalgesicofchoicefor
Anesthesia(109) September2015
pregnantdentalpatients.Ifanantibiotictreatmentisrequired,penicillin, Antibiotics(1) August2015
cephalosporin,anderythromycinarerecommended.Inparticular,duringthefirst3 Antimicrobialtherapy June2015
(8) March2015
monthperiod,radiologicalexaminationsshouldberestrictedtotheabsoluteminimum
AorticPressure(4) February2015
andperformedonlyifnoreasonablealternativeisavailable,althoughtheradiological ARDS(9) January2015
burdenonthefetusfalls500,000timesshortofthelimitvalueof50mgray(5rad)in Asthma(28) December2014
thecaseofamicroradiogram,and50,000timesshortofthelimitvalueinthecaseof Benignprostatic November2014
hyperplasia(9)
anorthopantomogram. October2014
Bleomycin(20)
September2014
Bronchiolitis(6)
August2014
LOCALANESTHETICSINCHILDREN CanadianHealth&Care
July2014
Mall(1)
June2014
Fixedpediatricdosagerecommendationsforagivenagerangearenolongerendorsed CardiacStructureand
Function(8) May2014
forlocalanestheticandsedativeagents.Availabledatasuggestthatadversereactions CardiacTransplant(2) April2014
inpediatricpatientsarecommonlycausedbyinadequatedosagereduction.Maximum Cardiovascular March2014
Disease(11) February2014
recommendeddosesoflocalanestheticsisbasedupontheweightofthechild,usually January2014
Celiacdisease(3)
expressedasmilligramsperkilogramofbodyweight.Forveryobesechildren,the CellularNutrition(16) December2013
maximumdoseshouldbecalculatedonthebasisofleanbodyweightoridealweight, Chemotherapy(7) June2013
Colorectalpolyposis May2013
notthetruebodyweight.Thespecificnumberofmilligramsperkilogramusedfor
(12) April2013
calculatingthemaximumrecommendeddosediffersamongthevariouslocal March2013
CongestiveHeart
anesthetics. Failure(10) February2013
orderlevitraprofessional COPD(22) January2013
CoronaryArtery December2012
Disease(18) November2012
MEDICALLEGALCONSIDERATIONS Crohn'sdisease(23) October2012
Dentaltreatment(46) September2012
Itisincumbentuponeverydentalpractitionertotreathisorherpatientsinan Depression(2) August2012
appropriateway,takingintoconsiderationboththeirdentalneedsandanyspecial Disease(12) July2012
Drug(15) June2012
precautionsrelatedtotheirpastmedicalhistory.Topreventanyimplicationof

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1/4/2017 LocalAnesthesiainDentistry:USEOFLOCALANESTHETICSDURINGPREGNANCYAnesthesiaProgressBlog
negligence,apractitionermustadministerappropriatetreatment.Furthermorethe Empyema(1) May2012
Entericnervous July2010
patientshouldreceiveadequateinformationabouttheproposeddentaltreatmentand
system(9) June2010
mustsubmitthemselveswillinglytoalocalanestheticasapartoftheproposeddental ErectileDysfunction May2010
treatmentafterthebenefitsandrisksareexplained.Medicolegalcomplaintsarising (1) April2010
ErectiveDisfunction March2010
fromadministrationoflocalanesthesiaarefewinnumber.Thereare,however,some (1)
February2010
particularcomplicationsarisingdirectlyfromthelocalanestheticdrugsortheirdelivery Esophageal(4)
January2010
thatmeritconsideration. Health(57)
December2009
Heart(6)
November2009
HeartFailure(4)
Persistinganesthesiaorparesthesiaduetodamagetovariousbranchesofthe October2009
Hemochromatosis(12)
trigeminalnerveisacommoncomplicationindentalsurgicalprocedures,especially September2009
HodgkinsDisease(1)
associatedwithlowerthirdmolarremoval.Casesrelatingtosensorylossoflingual HypoxemicCirrhotic
nerveandinferioralveolarnervefollowinginferiordentalblockinjectionsforrestorative (7)
Influenza(9)
procedureshaveoccasionallybeenpresentedasalegalcomplaint.
LungCancer(4)
LungCarcinoma(4)
Inastudyofover12,000inferiordentalblockinjections,allgivenforrestorative LungInjury(2)
treatment,18patients(0.15%)werefoundtohavesomelingualsensorydisturbance Main(71)
MechanicalHeart(7)
followingtreatment.Ofthese18patients,17patientstotallyregainednormal
MechanicalVentilation
sensationwithin6months,and1patientstillhadalossofsensationafter1year (7)
(0.008%).Ofthe12,000patients,856(7%)experiencedanelectricshocktype MediastinalGermCell
Tumors(23)
feelinginthetongueatthetimeofinjection,suggestingthatthetipoftheanesthetic
MensHealth(1)
needlehadtouchedthelingualnerve. MyCanadian
ordercialissuperactive Pharmacy(1)
NoSmokingPolicy
(12)
Althoughthemedicolegalissuestendtofrightenthedentalpractitioner,statistical
Nonalcoholicfattyliver
datademonstratethatifthecurrentstandardsofpracticeareobserved,thedentistis disease(7)
unlikelytorunintothesetypesofproblems. ObstructiveSleep
Apnea(1)
Octreotide(5)
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