Knowledge and attitude toward anaphylaxis during local anesthesia among dental practitioners in Chennai a cross-sectional study (original) (raw)
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The awareness of anaphylaxis reaction to local anesthesia in Dentistry
Background: Anaphylaxis is one of the rare clinical events specifically related to anesthesia leading to morbidity and mortality. In this manner, the aim of our study was to determine knowledge of Iranian dentists about symptom, sign and management of anaphylaxis to local anesthesia. Methods: The study was designed with a questionnaire (16 questions) related to anaphylaxis to local anesthesia in Iran. The dentists working in their private office and clinic of medical dentist randomly selected and asked to complete questionnaire. Results: 72% of dentists accepted to take part in the study. Although all attendants knew one or more symptoms and signs of anaphylaxis but none of them marked all options related to anaphylaxis. In relation to, about 72.9% of dentists knew epinephrine as the first choice in the treatment of anaphylaxis shock, but only 20% of them had kept emergency equipments and facilities such as drugs in their offices to treat shock. This study showed that less than 10% of the dentists were aware of the recommended dose of epinephrine to use in adults or children. Conclusion: Our study concludes that some of dentists are not aware of this emergency vital clinical condition. Therefore, dentists should be developed their knowledge on the subject of the causes and treatment of anaphylaxis shock alternatively with attendance in related courses which holding by academic centers. Keywords: Allergy, anaphylaxis, local anesthetics, dentistry
Dentists’ knowledge about anaphylaxis caused by local anaesthetics
Allergologia et Immunopathologia, 2011
Background: IgE-mediated systemic reactions to local anaesthetics may be seen-although rarely-by dentists. However, it is not known whether dentists are familiar with symptoms, signs and management of anaphylaxis. Methods: In this study we aimed to evaluate knowledge of dentists of the symptoms and signs and current treatment of anaphylaxis. For this, some dentists working in their private offices in Istanbul were asked to complete an anonymous questionnaire with 15 questions related to anaphylaxis. Results: A total of 86 dentists agreed to participate in the study. None of the attendants were completely aware of the symptoms and signs of anaphylaxis. About half of the attendants (48.8%) knew epinephrine as the first drug in the treatment of anaphylaxis and keep it in their offices (55.6%), but only one third of the dentists (31.5%) preferred intramuscular route as the most effective route for epinephrine injection. Conclusion: Our data show that the level of dentists' knowledge of local anaesthetics allergy and anaphylaxis is inadequate. This may endanger patients' lives. An educational programme that may improve general dentists' knowledge about local anaesthetics allergy and anaphylaxis is urgently necessary.
Anaphylaxis Management for Dentists: Knowledge and Preparedness
Asthma Allergy Immunology, 2020
Background: Anaphylaxis is not common in dentistry, but poor anaphylaxis management may lead to mortality. Objective: The aim of this study was to evaluate dentists' knowledge and preparedness to manage anaphylaxis. Materials and Methods: The study was designed as an online survey. It included questions about anaphylaxis management practices and the availability of equipment and medications in dental facilities. An online survey link was sent to members of the Turkish Dental Association (TDA). Results: A total of 952 TDA members responded to the survey. Fifty-seven point seven percent of dentists knew that adrenaline is the first choice drug to treat anaphylaxis. Fifty-two point four percent of dentists knew that intramuscular injection is the correct route of administration and 41.7% of dentists knew the correct dose to treat anaphylaxis. Only 15.3% of responding dentists answered all three questions correctly. Dentists who had previously been trained in the diagnosis and treatment of anaphylaxis performed better on questions about the first-choice drug, administration route, and dosage, when compared to untrained dentists (p<0.05). Of the responders, only 4.9% of dental facilities possessed complete medications and equipment capabilities to treat anaphylaxis. Conclusion: The majority of responding dentists did not seem to be aware of anaphylaxis management and did not have adequate equipment and medications for treatment of anaphylaxis in their dental facilities. There is an urgent need for undergraduate and postgraduate education programs to increase dentists' ability to manage anaphylaxis. The availability of emergency anaphylaxis medication and equipment in dental facilities should be ensured.
Nigerian Journal of Dental Research
Background: Anaphylaxis is an acutely presenting life-threatening medical emergency. Studies have shown that dentists feel inadequately able to recognize and treat anaphylaxis. This study aims to determine the level of knowledge of local anesthetic (LA) anaphylaxis among dentists in a Nigerian Teaching Hospital. Methods: This cross-sectional, questionnaire-based study was conducted among dental practitioners at the Dental complex of the University of Benin Teaching Hospital, Nigeria from August 2020 to January 2021. The questionnaire consisted of 21 items divided into four main sections: (1) Demographic characteristics, (2) general knowledge on local anesthetic anaphylaxis, (3) knowledge on signs and symptoms of local anesthetic anaphylaxis, (4) knowledge on treatment of local anesthetic anaphylaxis. Data was analyzed using Statistical Package for Social Sciences version 20.0, IBM, Armonk, NY, USA. Results: The 101 respondents approached agreed to participate in the study. There wer...
The knowledge of and attitudes toward anaphylaxis emergency management among Polish dentists
Disaster and Emergency Medicine Journal, 2018
inTroducTion: Anaphylaxis is a life-threatening medical emergency condition requiring immediate diagnosis and implementation of proper treatment. For the medical personnel facing a patient suspected of anaphylaxis, the necessary rapid initial management includes removing the allergen, calling for help, clearing the airway, laying the patient, and administering adrenaline in an intramuscular injection and oxygen. Airway management, intravenous access, and intravenous fluid challenge, as well as chlorphenamine and hydrocortisone injection, are also suggested if the medical personnel has appropriate skills and equipment available. Many studies emphasize that dentists feel inadequately trained to recognize and treat medical emergencies in dental offices, which especially refers to anaphylaxis. The aim of the study was to assess the dentists' preparedness, knowledge, and attitudes with regard to anaphylaxis in dental offices in Poland. MeThods: The study was conducted between November 2016 and November 2017 during scientific meetings and congresses in Poland. The participants (Polish dentists) received information on the study objectives and voluntarily took part in the questionnaire survey. The questionnaire included 20 items concerning age, gender, work experience, specialization, latest training in cardiopulmonary resuscitation, onset time of allergic reaction, stridor, first line pharmacological treatment, route of administration and doses of adrenaline in different age groups, other medications recommended in anaphylaxis.
Evaluation of the level of knowledge of sample of dental students in dealing with anaphylaxis
International journal of health sciences
The dental field considered being one of the most developing fields in the medical sectors, and being a profession that depend on providing health service, this field include some emergencies and critical clinical complication such as anaphylaxis. Dealing with this type of crisis should be done with high level and accuracy of diagnosis and treatment, as doing that will increase the chances of saving the patients from death possibility. The dental students should have a proper knowledge in how to deal with this type of cases, hence the objective of this study is to assess the level and knowledge of the dental students in dealing with anaphylaxis by application of specialized questionnaire. It concluded that dental students should be more educated and aware about this type of emergency and have the full knowledge about the signs, symptoms, diagnosis and treatment.
Anaphylactic shock management in dental clinics: An overview
Journal of the International Clinical Dental Research Organization, 2014
Anaphylaxis is among the emergency clinical events specifi cally related to local anaesthesia, leading to morbidity and mortality. Hence, our aim is to update knowledge of dental professionals about management of this entity with appropriate emergency management, by giving proper pharmacotherapy to prevent further auto immune reaction thus, saving their lives.
Anaphylaxis during anaesthesia: Indian scenario
Indian Journal of Anaesthesia, 2017
Background and Aims: Anaphylaxis during anaesthesia is a rare but serious problem. In contrast to the developed countries where databases of perianaesthetic anaphylaxis are preserved, none exist in India. We conducted a survey amongst Indian anaesthesiologists to study the incidence and aetiology of anaphylaxis during anaesthesia in India. Methods: A written questionnaire comprising 20 items was mailed electronically or distributed personally to 600 randomly selected Indian anaesthesiologists. The responses were compiled and analysed. Results: We received responses from 242 anaesthesiologists. One hundred and sixty-two (67%) anaesthesiologists had encountered anaphylaxis during anaesthesia. Anaesthetic drugs led to 40% of reactions, and 60% of reactions were attributed to non-anaesthetic drugs. Opioids were the most common anaesthetic drugs implicated in anaphylaxis during anaesthesia, and non-depolarising muscle relaxants were the second most commonly implicated agents. Colloids, antibiotics and blood transfusion were the common non-anaesthetic agents thought to be responsible for anaphylactic reactions during anaesthesia. There were five deaths due to anaphylaxis during anaesthesia. Only 10% of anaesthesiologists ordered for allergy testing subsequently though 38% of anaesthesiologists had access to allergy testing facilities. Conclusions: Our survey reveals that two-thirds of participating Indian anaesthesiologists had witnessed anaphylaxis during anaesthesia. Commonly implicated anaesthetic drugs were opioids and non-depolarising muscle relaxants while colloids, antibiotics and blood transfusion were the common non-anaesthetic agents causing anaphylactic reactions during anaesthesia. Further, our survey reveals low utilisation and paucity of referral allergy centres to investigate suspected cases of anaphylaxis during anaesthesia.
The evaluation of the attitude of anesthetists on anaphylaxis in Turkey
Eurasian Journal of Medicine and Oncology
T he incidence of allergic diseases is increasing. The correct attitude toward the problems emerging due to allergic diseases (asthma, drug allergy, anaphylaxis, etc.) during anesthesia administration is important as it may prevent mortality and morbidity. The perioperative anaphylactic reaction incidence has been reported as 1:3500-1:25000 according to various resources. [1-3] The incidence of anaphylactic reactions developing during anesthesia is not
Anaphylaxis: a ten years inpatient retrospective study
The actual incidence of anaphylaxis is unknown. Periodical study of the anaphylaxis in different countries will raise the awareness to improve further the prevention and care. To investigate anaphylaxis among inpatients in the previous decade, we conducted a retrospective study of adult patients between 1992 and 2001 at a tertiary care center in Bangkok. Of 448,211 admissions, 80 events of anaphylaxis in 79 patients (0.017%) were found. The incidence had increased from 2.6 to 46 per 100,000 inpatients. Mean age +/- SD was 36 +/- 16 years-old, with an equal male:female ratio. Drugs, mainly antibiotics and nonsteroidal anti-inflammatory agents, (48%) and food (31%) were the most common causes. Over-the-counter medication and multiple drug use were responsible for up to a half of the unspecified drug causes. There was no fatality. 84% received epinephrine, but in only 7% it was given intramuscularly. Fifteen cases (20%) had a history of prior anaphylaxis, nonetheless only one had received prefilled epinephrine. The rise in the incidence of anaphylaxis over the two decades of the study period is alarming. Raising the awareness of anaphylaxis management among healthcare providers and the public is warranted.