When choosing an infiltrative anesthetic agent, the type of procedure, the length of time required for anesthesia, and the pharmacodynamics of each medication are important considerations. Distraction techniques and buffering with sodium bicarbonate can be used to decrease the pain associated with injection. Local cutaneous infiltration is the most commonly used anesthetic technique and involve...

BACKGROUND: We report a case of a patient with apparent resistance to local anesthetics. While similar cases of failure of regional anesthetics are often attributed to technical failure, the overall clinical presentation and history of this patient suggests a true resistance to local anesthetics. CASE PRESENTATION: This patient presented for elective cesarean section and the decision for region...

PURPOSE The purpose of this study was to assess children's reactions to the administration of local anesthetic injection in the mandible and in the maxilla, and to study their sensation of pain after each type of injection. METHODS Twenty-six children between the ages of 4 to 6 (mean age 5.3+/-0.7 years), and 34 children aged between 7 to 10 (mean age 8.1+/-1.1 years,) who were undergoing den...

OBJECTIVES To compare the clinical anesthetic efficacy of 0.5% bupivacaine and 4% articaine (both with 1:200.000 adrenaline) for anterior maxillary infiltration in healthy volunteers. MATERIAL AND METHODS A triple-blind split-mouth randomized clinical trial was carried out in 20 volunteers. A supraperiosteal buccal injection of 0.9 ml of either solution at the apex of the lateral incisor was ...

Abstract Backgroung: Recent studies have shown that Tramadol has local anesthetic effects in addition to its classical analgesic effect. In this study, the local anesthetic and postoperative analgesic effects of Tramadol were compared with those of Lidocaine in minor surgeries under local anesthesia. If the efficacy of Tramadol in this regard is proven, it will make considerable advances in th...

BACKGROUND This study aimed to compare the topical anesthetic lignocaine, adrenaline, and tetracaine (LAT) (4% lignocaine, 1:2 000 adrenaline, 1% tetracaine) with the conventional lignocaine infiltration(LI) for repair of minor lacerations, for the comfort of anesthetic administration, efficacy, adverse effects and cost. METHODS This was a prospective randomized clinical trial. Forty Asian pa...

BACKGROUND General anesthesia (GA) and brachial plexus block have been used successfully for surgery on the upper extremities. Controversy exists as to which method is more suitable in outpatients undergoing hand and wrist surgery. The authors hypothesized that infraclavicular brachial plexus block (INB) performed with a short-acting local anesthetic would result in shorter time to discharge ho...

AANA Journal/June 2007/Vol. 75, No. 3 193 Carotid endarterectomy is a procedure used to treat severe atherosclerotic occlusive disease involving the internal carotid arteries, most often at the common carotid artery bifurcation. The operation is performed by opening the common carotid arteries and the proximal internal carotid arteries in the neck, removing plaques from the inside of the arteri...