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Effects of lidocaine with and without epinephrine on plasma epinephrine and lidocaine concentrations and hemodynamic values during third molar surgery.

Abstract
Lidocaine with epinephrine is currently the most common local anesthetic agent used for impacted third molar surgery. The purpose of the present study was to define the adverse hemodynamic effects and plasma concentrations of lidocaine and epinephrine on 17 healthy patients during the impacted teeth operations. Arterial blood pressure (systolic blood pressure, diastolic blood pressure), heart rate, peripheral oxygen saturation range, and electrocardiography were measured by an automatic noninvasive pressure device and monitor. High-performance liquid chromatography was used to measure the changes of plasma concentrations of epinephrine and lidocaine from blood samples taken 5 different times during the operation. We concluded that lidocaine-epinephrine is effective local anesthetic and had no important adverse events in healthy patients during the third molar surgery.
AuthorsGokce Meral, Ferda Tasar, Filiz Sayin, Mustafa Saysel, Sedef Kir, Erdem Karabulut
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 100 Issue 2 Pg. e25-30 (Aug 2005) ISSN: 1528-395X [Electronic] United States
PMID16037765 (Publication Type: Journal Article)
Chemical References
  • Anesthetics, Local
  • Vasoconstrictor Agents
  • Lidocaine
  • Oxygen
  • Epinephrine
Topics
  • Adult
  • Anesthesia, Dental
  • Anesthesia, Local
  • Anesthetics, Local (blood, pharmacology)
  • Blood Pressure (drug effects)
  • Chromatography, High Pressure Liquid
  • Electrocardiography
  • Epinephrine (blood, pharmacology)
  • Female
  • Heart Rate (drug effects)
  • Humans
  • Lidocaine (blood, pharmacology)
  • Male
  • Molar, Third (surgery)
  • Oxygen (blood)
  • Statistics, Nonparametric
  • Tooth Extraction
  • Vasoconstrictor Agents (blood, pharmacology)

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