Emeka D Odai1 , Ozoemene N Obuekwe2, Raymond I Ozolua1
1Department of Pharmacology, Faculty of Pharmacy, University of Benin, Benin City, Nigeria; 2Department of Maxillofacial Surgery, University of Benin Teaching Hospital, Benin City, Nigeria..For correspondence:- Emeka Odai Email: danielson.odai@uniben.edu Tel: +2348091749166
Published: 28 December 2018
Citation: Odai ED, Obuekwe ON, Ozolua RI. Cardiorespiratory changes following injection of local anesthetics with different concentrations of adrenaline during simple tooth extraction: Preliminary report of a prospective clinical trial. J Sci Pract Pharm 2018; 5(1):203-205 doi: 10.47227/jsppharm.v5i1.07
© 2018 The author(s).
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). This license requires that reusers give credit to the creator. It allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, for noncommercial purposes only. .
Purpose: To evaluate some of the cardio-respiratory effects of the commonly used LAAs in dental patients. Methods: This was prospective clinical trial. Patients were divided randomly into 4 cohorts: L-200 cohort, L-100 cohort, A-200 cohort and A-100 cohort. There were 25 patients in L-200, L-100 cohort and A-200 cohorts each, while A-100 cohort had 26 patients. L-200 cohort was given 1.8 mls of lidocaine 2% with adrenaline 1:200,000. L-100 cohort was given 1.8 mls of 2% lidocaine with adrenaline 1:100,000, A-200 cohort was given 1.8 mls of articaine 4% with adrenaline 1:200,000. A-100 cohort was given 1.8 mls of articaine 4% with adrenaline 1:100,000. One hundred and one patients were included in the study. There were 60 (59.4%) females and 41 (40.6%) males. Results: Mean respiratory rate decreased following the injection of the LAAs: A-100, A-200, L-100 and L-200 to the respective cohorts, and maintained a steady decrease throughout the study period; T0 through T3. The heart rate, systolic blood pressure and diastolic blood pressure increased following injection of LAAs being investigated but no statistically significant increase was noted. Conclusion: The A-200 cohort, was a source of the statistically significantly low oxygen concentrations, with mean (SD) of 91.2 (11.4) % (P=0.000) at T0 and 92.8 (11.4) % (P=0.001) at T1.