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

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 infiltrati...

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Main Authors: Kenichi Satoh, Ayako Ohashi, Miho Kumagai, Hideki Hoshi, Kousei Otaka, Shigeharu Joh
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/896196
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author Kenichi Satoh
Ayako Ohashi
Miho Kumagai
Hideki Hoshi
Kousei Otaka
Shigeharu Joh
author_facet Kenichi Satoh
Ayako Ohashi
Miho Kumagai
Hideki Hoshi
Kousei Otaka
Shigeharu Joh
author_sort Kenichi Satoh
collection DOAJ
description 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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publishDate 2015-01-01
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series Case Reports in Dentistry
spelling doaj-art-c8cd71c649e34465bc145979981efed52025-02-03T06:46:23ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/896196896196Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General AnesthesiaKenichi Satoh0Ayako Ohashi1Miho Kumagai2Hideki Hoshi3Kousei Otaka4Shigeharu Joh5Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, JapanDivision of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, JapanDivision of Special Care Dentistry, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University, Iwate 020-8505, JapanDivision of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, Iwate 020-8505, JapanDepartment of Anesthesiology, Omagari Kosei Medical Center, Akita 014-0027, JapanDivision of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, JapanLocal 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.http://dx.doi.org/10.1155/2015/896196
spellingShingle Kenichi Satoh
Ayako Ohashi
Miho Kumagai
Hideki Hoshi
Kousei Otaka
Shigeharu Joh
Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia
Case Reports in Dentistry
title Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia
title_full Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia
title_fullStr Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia
title_full_unstemmed Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia
title_short Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia
title_sort severe bradycardia possibly due to a local anesthetic oral mucosal injection during general anesthesia
url http://dx.doi.org/10.1155/2015/896196
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