Lidocaine with epinephrine effect on arterial tension of children

Main Article Content

Alicia Aboites-Morales
Benigno Linares-Segovia
David Covarrubias-Rodríguez
Estela Núñez-Lemus

Keywords

Local Anesthetics, Vasoconstrictor Agents, Blood Pressure, Child

Abstract

Objective: to determine the effect of the epinephrine-lidocaine anaesthetic solutions on blood pressure in healthy children subjected to short dentistry procedures.

Methods: we performed a prospective, observational and analytical study in 39 children with 7 and 8 years of age, who were subjected to dentistry treatment of short duration in a dentistry service. The blood pressure was measured in three times: previous to the infiltration of lidocaine to 2 % with epinephrine; 10 minutes later; at the end of procedure.

Results: the systolic blood pressure, like diastolic and the average increased after 10 minutes of the infiltration with the anestheticvasoconstrictor solution, but this difference was not significant (p = 0.39, 0.14 and 0.40). We observed an increase of the systolic (6.0 mm Hg, IC 95 % = 4.6-7.5, F = 14.0, p = 0.0001), diastolic (9.9 mm Hg, IC 95 % = 7.3-12.5; F = 26.0, p = 0.0001) and average arterial tension (7.3 mm Hg, IC 95 % = 5.8-8.8; F = 23, p = 0.0001) to the 10 minutes after the treatment.

Conclusions: the use of the epinephrinelidocaine anaesthetic solutions does not have significant effect on the blood pressure of children subjected to short dentistry procedures.

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