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Variabilidad de la presión arterial en pacientes normotensos sometidos a cirugía bucal ambulatoria
Author(s) -
Heriberto Atanacio Núñez Mendieta,
Ruben D. Aquino,
Guillermo Antonio Mico,
Wilma Paola Pratt Giosa,
Julio Cesar Pratt Giosa,
Liz Violeta Keim Meden
Publication year - 2015
Publication title -
revista facultad de ciencias de la salud udes
Language(s) - English
Resource type - Journals
ISSN - 2422-1074
DOI - 10.20320/rfcsudes.v2i2.64
Subject(s) - medicine , local anesthesia , blood pressure , observational study , oral surgery , auscultation , dentistry , anesthesia , outpatient clinic
Background: A dental appointment can be stressful for patients, especially if this involves a surgical procedure. Factors such as pain and catecholamines present in local anesthesia can cause a change of values of blood pressure (BP). The hypertensive peak is a sudden rise in BP and can occur even in a person usually normotensive by a stressful situation. Objective: To determine the variability of BP in normotensive patients attending the Department of Oral Surgery III Course of the Faculty of Dentistry at the National University of Asuncion. Methods: Descriptive observational study design. The PA was obtained by auscultation method by members of the Department of Physiology of the Faculty of Dentistry at the National University of Asuncion during different stages of the surgical procedure, in 109 patients aged 18 to 67 years who presented indicating teeth extraction. Results: 95.4% (104) of the patients showed variation in the values of BP during the surgical procedure. In 77% of the variation thereof within 5 minutes after local anesthesia, in 18% immediately after tooth extraction and 5% in the immediate postoperative period was observed. Conclusions: In most patients, BP variation was observed during the oral outpatient surgical procedure and surgical stage more often variation was within 5 minutes after administering local anesthesia.

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