Evaluation of the changes in pre-extraction blood pressure and pulse rate values with post-extraction blood pressure and pulse rate values (original) (raw)
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IP Innovative Publication Pvt. Ltd., 2018
Aim: To evaluate the changes in blood pressure, pulse rate and SpO2 pre during and post extraction procedure under local anesthesia. Materials and Method:A total of 150 patients were included in the study. Pulse oximeter was placed to evaluate the parameters and changes were investigated before administering local anesthesia, during anesthesia, during extraction procedure and post extraction. Data was tabulated and statistical analysis was done using 20 SPSS software. Results:Almost of the patients has increase in the systolic blood pressure and pulse rate during administration of local anesthesia and during extraction procedure. Very minimal change was observed in diastolic blood pressure and SpO2 levels. Conclusion:Significant changes are noted in changes in systolic blood pressure and pulse rate pre administration of local anesthesia, during administration of local anesthesia, during extraction, and post extraction procedure. Diastolic blood pressure and SpO2 has no significant differences. Keywords:Blood pressure, Pulse rate, SpO2, Dental extraction, Local anesthesia
The West Indian medical journal, 2011
This study was conducted to determine the changes in blood pressure and the pulse rate of patients with controlled hypertension having dental extraction under local anaesthesia utilizing 2% lignocaine with adrenaline, and to evaluate whether these changes in blood pressure were are attributable to addition of adrenaline. This prospective study was carried out in 33 consecutive hypertensive patients who presented at the exodontia clinic of the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, from December 2004 to August 2005 for intra-alveolar tooth extraction. Patients were randomly allocated to two groups according to the type of anaesthetic solution employed. Group A had tooth extraction done under 2% lignocaine with 1:80 000 adrenaline while group B had tooth extraction done under 2% lignocaine without vasoconstrictor (plain lignocaine). One tooth was extracted from each patient. Blood pressure and pulse rate measurements ...
Analytical parameters and vital signs in patients subjected to dental extraction
Journal of clinical and experimental dentistry, 2017
Dental consultation may provoke stress to the patient, especially when a dental surgery is going to be performed, stressful situations can cause a reaction in the sympathetic nervous system that could lead to cardiovascular alterations. Blood pressure and cardiac frequency are used often as an indirect measurement and this parameters combined can serve as good indicators of stress. Objective: Analyze the changes in vital signs and analytical parameters induced by a dental extraction. 24 healthy patients who required a simple dental extraction underwent to a blood test and motorization of their pre- and post-extraction vital signs before, at 2 and 48 hours after the procedure. Data analysis was performed by means of repeated measures one way ANOVA followed by multiple comparisons Bonferroni's Post-hoc test. The evaluated patients were 13 women and 11 men with an average age of 35.1. Thirteen patients (54.17% of the sample) were smokers and five were regular drinkers (20.8%). No s...
IP Innovative Publication Pvt. Ltd., 2017
Objective: This study is intended to study the effects of Local Anaesthesia containing adrenaline (vasoconstrictor) on Blood pressure and pulse rate in hypertensive patients and to ascertain the safety of using Local Anaesthesia with adrenaline in such patients. Materials & Methods: The present study has been carried out in Rajiv Gandhi Institute of Medical Sciences, Adilabad from January 2011 to December 2012. The study included 100 male patients, 24 to 60 years of age who underwent extraction of firm mandibular molar tooth. Out of 100 male patients, 50 patients were normotensive patients with systolic blood pressure of <120 mm of Hg and diastolic blood pressure of < 80 mm of Hg and remaining 50 patients were Hypertensive patients out of which 25 patients had Stage I Hypertension (SBP 140 – 159 mm of Hg & DBP 90 – 99 mm of Hg) and 25 patients had Stage II Hypertension (SBP >160 mm Hg & DBP >100 mm Hg). All patients were given Inferior Alveolar Nerve Block followed by Lingual & Long Buccal Nerve Blocks with 2% Lignocaine with 1:2, 00,000 Adrenaline. The Blood pressure and pulse rate were recorded 6 times. Results: All patients showed a considerable increase in Systolic and Diastolic BP recorded at 2 min but gradually showed a reduction until 60 min post-operatively. The pulse rate also shown a sudden increase followed by gradual reduction to preoperative level. Conclusion: All patients showed a considerable increase in blood pressure and pulse rate but not significantly which may be attributed to stress induced by dental extraction.
Evaluation of changes in blood pressure in patients submitted to dental surgical procedures
2021
The present study aimed to evaluate the occurrence of significant changes in systemic blood pressure (SBP) during surgical-dental procedures. A prospective study was performed with a sample of 135 randomly selected individuals who underwent surgical procedures at the Bucomaxillofacial Surgery Clinic of the Dentistry School of the ESFA (ES) between the second half of 2017 and April 2018. After consent, sociodemographic, lifestyle data, weight and height were obtained through a questionnaire, weighing and measurement, respectively. BP measurements were performed at three moments: preoperative (BP1), intraoperative (BP2) and postoperative (BP3) using a mercury column sphygmomanometer and stethoscope. Values <120/80 mmHg were used as normal values. When BP1 and BP2 were compared, 63.0% remained within normal values and 22.2% reached the stage of hypertension. In the comparison of BP1 and BP3, 66.7% remained normal, and only 7.4% reached the stage of hypertension. When BP2 and BP3...
Eastern Journal Of Medicine
The aim of this study was to evaluate the effect of hypertension and/or diabetes on systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) changes of individuals during oral surgeries. This randomized observational study was conducted on patients undergone oral surgical procedures. The individuals were divided into 3 systemic disease groups. The group 1 consisted of only individuals with hypertension, the group 2 included individuals with hypertension and diabetes, and the group 3 consisted of only individuals with diabetes. Initial and final SBP, DBP and HR measurements according to age, gender and body mass index (BMI) between groups were analy zed statistically. The statistical significance level was set at p<0.05. Of the 414 patients aged 18-82 years included in the study, 38.2% were male and 61.8% were female. Outcomes of 271 patients undergone surgical procedures; the DBP change of the patien ts in the group 3 were significantly lower than that of those in the group 1 (p<0.01). The HR change of the patients in the group 1 was significantly higher than that of the patients in the groups 2 and 3 (p<0.05). The increase in the SBP of the patients i n the group 2 was higher than that of the patients in the group 3 in patients under the age of 50 years (p<0.05). In the literature, there was no study that evaluated the change in blood pressure and heart rate during surgery in diabetic patients. Hypertension, diabetes, individual factors like BMI and age were effective in SBP, DBP and HR changes.
Blood pressure measurements during dental checkups representative of 26-hour registration
Oral surgery, oral medicine, and oral pathology, 1990
The effect of dental checkups on blood pressure was investigated. In 27 normotensive patients (13 men and 14 women) aged 22 to 64 years (mean 39.75 +/- 10.5 years), a 26-hour continuous, noninvasive blood pressure registration was carried out. Of each patient at least 175 blood pressure measurements were registered during these 26 hours, giving a total amount of 4725 blood pressure measurements. A dental checkup appointment with the family dentist was included. Blood pressure values displayed the well-known diurnal variation, but the visit to the dental surgeon was not accompanied by a rise in blood pressure. There was no significant difference between the blood pressure values during the 26-hour period and those during the checkup period. During a rest period after the dental checkup, neither the systolic nor the diastolic pressure fell to any degree in relation to the 26-hour values or the visit to the surgeon.
Acta odontológica latinoamericana : AOL, 2012
The aim of this study was to determine changes in arterial pressure (AP) and heart rate (HR) during dental treatment under local infiltration anesthesia (LIA) in patients with controlled arterial hypertension (AHT) versus normotensive patients. A longitudinal comparative study involving repeated measurements in well-controlled hypertensive (cases) and normotensive patients (controls) was conducted. All patients received standardized preventive periodontal treatment under LIA (1.8 ml of 4% articaine with 1:100000 L-Adrenaline). AP and HR were determined at 5 different phases of treatment. The study comprised 82 patients, 46.3% of whom were hypertensive, 61% were female. Systolic (SAP) and diastolic (DAP) arterial pressure and HR increased as the procedure advanced and then returned to initial values in both groups. Average HR values were lower in normotensive than in hypertensive patients (p < 0.001). Significant differences in AP and HR were observed among initial, mid-procedure,...
Medical Archives, 2015
Background: The patients that are subjects to oral-surgical interventions produce large amounts of steroids in comparison with healthy patients which are not a subject to any dental intervention. The aim of research was to determine the level of stress hormone cortisol in serum, arterial blood pressure and arterial pulse, and to compare the effectiveness of the usage of lidocaine with adrenalin in comparison with lidocaine without adrenalin during the tooth extraction. Patients and methods: This clinical research includes patients with indication of tooth extraction divided in hypertensive and normotensive patients. Results: There is no important statistical distinction between groups, for the cortisol levels before, during and after tooth extraction regardless of the type of anesthetic used, while we registered higher values of systolic and diastolic values at hypertensive patients, regardless of the type of anesthetic Conclusion: There is significant systolic and diastolic blood pressure rise in both groups of patients hypertensive and normotensive patients, (regardless of anesthetic used with or without vasoconstrictor), who underwent tooth extraction. The special emphasize is attributed to hypertensive patients where these changes are more significant. As per cortisol level and pulse rate, our results indicate no significant statistical difference in between groups.