Hemodynamic effects of local anesthetics in hypertensive patients
Keywords:
local anesthetics, Arterial hypertension, Hemodynamic effects, Vasoconstrictors, Anesthetic managementAbstract
Introduction: anesthetics in dentistry are substances that lower the response threshold of neurons in the transmission of pain, giving an advantage to achieve uninterrupted treatment of the patient. Objective: describe the use of anesthetics with vasoconstrictors in hypertensive patients. Method: bibliographic review was conducted with a qualitative, descriptive, cross-sectional approach in search of collecting scientific articles from the main scientific databases in the last 5 years. Mainly looking for articles that indicate the use of anesthetics with epinephrine with the keywords "Hypertension, Anesthetics, Epinephrine, Dentistry". Development: the use of anesthetics in hypertensive patients has a variety of criteria, currently it is recommended to first define hypertension as a disease of elevated blood pressure above 160 mmHg / 99 mmHg, in which dental care faces a great risk such as hemorrhagic and circulatory problems with side effects. Conclusions: the use of anesthetics with vasoconstrictors is the first choice in patients with hypertension according to reports from the last 5 years.
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1. Bezerra Ct Dos R, Breseghello I, Faria Md, Antonio Rc. A. Consulta odontológica de pacientes hipertensos, diabéticos e gestantes: análise do conhecimento e conduta dos cirurgiões-dentistas. Unifunec ciências da saúde e biológicas [Internet]. 2020 [cited 2024 Jul 4];3(6):1–14. Available from: https://seer.unifunec.edu.br/index.php/rfce/article/view/4094
2. Elisa Matos de Oliveira A, Leonardo Simone J, Almeida Ribeiro R. Pacientes hipertensos e a anestesia na Odontologia: devemos utilizar anestésicos locais associados ou não com vasoconstritores? (1):69–75.
3. García Peñín A, Guisado Moya B, Montalvo Moreno JJ. Riesgos y complicaciones de anestesia local en la consulta dental: Estado actual. RCOE [Internet]. 2003 [cited 2024 Jul 4];8(1):41–63. Available from: https://scielo.isciii.es/scielo.php?Script=sci_arttext&pid=S1138-123X2003000100004&lng=es&nrm=iso&tlng=es
4. Souza AV, Gomes F. Efeitos cardiovasculares da epinefrina contida no anestésico local em pacientes hipertensos na odontologia: revisão de literatura. Centro Universitário Unidade de Ensino Superior Dom Bosco [Internet]. 2021 Nov 30 [cited 2024 Jul 4]; Available from: http://repositorio.undb.edu.br/jspui/handle/areas/640
5. Carvalho Ef De, Leite Tr, Conceição Ls Da. Cirurgia odontológica em pacientes hipertensos: revisão de literatura. Facit Business and Technology Journal [Internet]. 2022 [cited 2024 Jul 26];2(36):185–98. Available from: http://revistas.faculdadefacit.edu.br/index.php/JNT/article/view/1570
6. Seminario-Amez M, González-Navarro B, Ayuso-Montero R, Jané-Salas E, López-López J. Use of local anesthetics with a vasoconstrictor agent during dental treatment in hypertensive and coronary disease patients. A systematic review. J Evid Based Dent Pract [Internet]. 2021 Jun 1 [cited 2024 Jul 27];21(2). Available from: https://pubmed.ncbi.nlm.nih.gov/34391560/
7. Baptista Bezerra AB, Del Barco Barbosa EDÁ. O uso de anestésicos locais na odontologia em pacientes hipertensos: revisão de literatura. Centro universitário de várzea grande. [brasil]: centro universitário de várzea grande; 2023.
8. Aliabadi E, Divanpour V, Mardani M. Changes in Blood Pressure and Pulse Rate of Patients without Systemic Diseases Following the Injection of 2% Lidocaine Plus Epinephrine 1:80000 in an Inferior Alveolar Nerve Block - A Prospective Study. Ann Maxillofac Surg [Internet]. 2020 Jul 1 [cited 2024 Jul 27];10(2):361–4. Available from: https://pubmed.ncbi.nlm.nih.gov/33708580/
9. Gomes Pp, Pedrosa Mm, Pinho Lcf De. A importância do conhecimento teórico e prático na anestesia local em pacientes hipertensos: revisão de literatura. Revista Cathedral [Internet]. 2020 Jun 1 [cited 2024 Jul 4];2(2):1–1. Available from: http://cathedral.ojs.galoa.com.br/index.php/cathedral/article/view/161
10. Fleury CA, Almeida EPM, Dionisio TJ, Calvo AM, Oliveira GM, Amaral SL, et al. Impacto do Tabagismo Passivo na Resposta Pressórica à Epinefrina e Felipressina em Ratos Hipertensos 1K1C Tratados ou não com Atenolol. Arq Bras Cardiol [Internet]. 2020 Mar 20 [cited 2024 Jul 27];114(2):295–303. Available from: https://www.scielo.br/j/abc/a/38ffsm9yqkpwkmv5bgg7nkj/?Lang=pt&format=html
11. Santos GMS dos, Santos YLBB, Fernandes CM de S, Araújo FNL, Costa SM, Barbosa D dos S, et al. Soluções anestésicas contendo vasoconstritores e suas contraindicações durante o tratamento odontológico em pacientes portadores de doenças cardiovasculares. Revista Ibero-Americana de Humanidades, Ciências e Educação [Internet]. 2024 [cited 2024 Jul 27];10(3):391–8. Available from: https://periodicorease.pro.br/rease/article/view/13046
12. Laura María Díaz Guzmán D, Luis Caste-llanos Suárez J, Gay Zárate Ó. Selección de los anestésicos locales adecuados para los pacientes hipertensos. Revista ADM. 2003;LX(2):76–8.
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Copyright (c) 2025 Adrián Isaac Toala-Tapia , Paullette Andreina Torres-Quiñonez , Briana Paulett Varela-Paladines , Anais González-Jarrosay
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