Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia.

Case Rep Dent

Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan.

Published: March 2015

AI Article Synopsis

  • Local anesthesia can cause systemic issues, triggering parasympathetic responses like bradycardia (slow heart rate) and hypotension (low blood pressure).
  • A case is presented of a 50-year-old man who faced severe bradycardia and hypotension during dental surgery under general anesthesia after receiving local anesthesia.
  • The paper discusses the potential risks linked to using a large injection needle for local anesthesia when patients are already under general anesthesia.

Article Abstract

Local anesthesia may induce systemic complications leading to parasympathetic activity leading to bradycardia and hypotension. We report a case of a 50-year-old man undergoing dental surgery under general anesthesia who experienced severe bradycardia and hypotension after local anesthesia infiltration. Concerns regarding the utilization of a relatively large lumen injection needle for local anesthesia during general anesthesia are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355597PMC
http://dx.doi.org/10.1155/2015/896196DOI Listing

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