Title: “Comparative evaluation of anaesthetic efficacy of articaine and lignocaine using a single buccal infiltration for extraction of primary molars” Introduction: An important aspect of patient management in dentistry is pain control, which is mainly achieved using local anaesthetic drugs (PD). Lidocaine being the safest is the most commonly used (JMOS) and has served as a gold standard in local anaesthetic drugs for the past 50 years (pd). It has revolutionized pain control in dentistry since it was introduced in late 1940s (Malamed). It is an amide anaesthetic with a short onset of action and an intermediate duration of anaesthesia when associated with adrenaline(BDJ). Local anaesthetic injections trigger pain and anxiety in children, employing lidocaine for palatal injection is considered as more painful, because palatal mucosa is compact and tightly bound to the underlying periosteum. Also, mild to moderate pain of the palatal injection is relatively poorly tolerated due to the abundant nerve supply in palatal tissue (PD). The Inferior alveolar nerve block (IANB) is principally employed to obtain local analgesia for children’s mandibular posterior teeth. It has been reported that the IANB has the highest level of patient discomfort when compared with infiltration, palatal injection, mental nerve block or periodontal ligament injections. The child’s behaviour towards subsequent dental treatment can be negatively influenced by an unpleasant treatment experience
This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of
Sedation dentistry, which may be administered via oral pill, nitrous oxide (laughing gas), or through an IV, is designed to help patients relax prior to and during a dental procedure. Often times, patients don't remember much, if anything, about the procedure following sedation. It should be noted that sedation dentistry may be referred to as sleep dentistry, however, patients remain aware and cooperative throughout
These face fillers contain Lidocaine, which will numb the areas once injected. The discomfort is minimal. We also do our best to make your treatment a comfortable one. If it helps, we can let a staff member stay by your side to hold your hand and/or provide squeeze toys to help you tolerate the discomfort, especially when injected in highly sensitive areas.
According to Hah et al. (2017), several studies have shown that nerve blockade of the central nervous system (neuraxial anesthesia) or peripheral nerves (regional anesthesia) reduce the need for opioids in the immediate postoperative phase. There are two mechanisms through which nerve blockade reduces persistent opioid use. First, nerve blockade works by impeding the transmission of pain during the perioperative phase and thereby stopping central sensitization and chronic neuropathic pain. Second, nerve blocks are effective in treating postoperative pain and are good predictor of persistent opioid use. Similarly, studies found that intravenous local anesthetic such as lidocaine reduces perioperative opioid
Discussion: The onset of sensory and motor block was faster and time taken to attain complete sensory and motor block to occur was shorter in the nalbuphine group as compared to bupivacaine group. Postoperative regression of both sensory and motor block was significantly slower in group N than in group B and the first rescue analgesic requirement in group N was significantly late than in group B. 0.8mg intrathecal nalbuphine as an adjunct to spinal bupivacaine prolongs the postoperative analgesia with minimal side effects and with desirable sedation intraoperatively which helps in taking care of psychological impact of operation theatre environment. Rawal et al found that nalbuphine was the least irritating to neural tissue even when used in large doses and was associated with minor behavioral and EEG changes
Background: Total knee arthroplasty is associated with moderate to severe postoperative pain and effective analgesia is essential for postoperative recovery and rehabilitation. The challenge of analgesic regimes is to obtain adequate pain relief and maximum muscle control to enable the patient to mobilize and rehabilitate early without troublesome side effects. Local Infiltration Analgesia (LIA) is widely thought to be effective and is frequently applied as part of a multimodal pain strategy due to its simplicity and apparent safety in multiple types of surgery. However, the optimal dose, technique and best composition in perioperative consummated pain medication are not known.
One answer that has worked for a great number of patients is sedation dentistry. At Parkland Mall Dental Centre, we provide this form of dentistry when needed. Nitrous oxide, also known as “laughing gas,” has provided a welcome solution for many patients.
The compatibility of a LB with other drugs and implanted materials is an important factor impacting drug safety and efficacy. The liposomal formulation of the local anesthetic bupivacaine is designed to provide prolonged postsurgical analgesia. Its compatibility with other drugs and materials depends on the compatibility of the drug itself, along with the integrity of liposomal components.
2A). Baclofen in all three doses increased the pain threshold in randall sellitto test and significant differences observed in mechanical hyperalgesia comparing to pre injection values (df:42,5 ; F=6.93; P<0.05) (Fig. 2B). The effect of different doses of baclofen on pain threshold in acetone test was differed and intrathecal injection of lowest dose (0.01 μg) significantly decreased the cold allodynia (df:42,5 ; F=5.84; P<0.001) but intrathecal injection of 1 and 0.1 μg of baclofen did not show any significant effect (fig. 2C). Also the effect of different doses of baclofen on mechanical allodynia was not similar and injection of 0.01 μg did not change the pain threshold compared to pre injection values. Intrathecal injection of 0.01 and 0.1 μg of baclofen decreased the mechanical allodynia (P<0.01 and P<0.05 respectively).
Advice must be given to patient and parent about tooth grinding and clenching and can include that the drugs may (but not certainly) have an effect on this. Its important to discuss implementation of other intervention strategies before going on or off any
At the phone interview post Op day one patient reported a satisfactory pain relive for 13h without oral opioids and some sensation impairment for 20h. The patient had some pain issues as the block wore off, leading to some discomfort but manageable with oral
Dental care and treatment is a very important aspect in a person's life. Every individual wants a beautiful smile and so it comes without saying that you will need a dentist for certain procedures to be done. Fear and anxiety ,however, can prevent someone from paying the dentist a visit. These fears can be eliminated by a technique referred to as sedation dentistry. Certain sedation drugs in pill, intravenous or gas form are given to patients to help them to relax. Some dentists also use anxiety-relieving approches like music to put the patient in a relaxed mood. Below are four advantages of the sedation dentistry technique:
Background: Propofol is a widely used intravenous anesthetic drug. One of its side effects is pain during injection. We investigate the effects of intravenous ondansetron, lidocaine, and their combination on pain reduction of intravenous propofol.
In previous studies describing the use of continuous perineural infusions of local anesthetics, the infusion rates varied from 4 to 10 ml/hr (10)(7). Malawer et al used 4 ml/hr of 0.5% of Bupivacaine(8) while in other trials bupivacaine 0.25% at 10 mL/h(10), and bupivacaine 0.1% at 10 mL/h (with clonidine)(7) were used. In our study we chose to use a larger volume of 10 ml of diluted local anaesthetic i.e. 0.125% Bupivacaine .
Pain is an unpleasant sensory and emotional experience associated with either actual or potential tissue damage or described in terms of such damage. Pain during periodontal therapy is one of the factor that could forbid the patient from seeking further periodontal treatment. Hence pain management is necessary for the periodontist in enhancing the success of the periodontal therapy. Controlling pain is an important outcome measure for successful periodontal therapy and patient recall. The most common and easy method for pain control during nonsurgical periodontal therapy is use of topical anaesthetics, out of which EMLA is one of them, which is a mixture of equal quantities of lidocaine and prilocaine.