introdouction: injection of local anesthesia during dental procedures can induce metabolic changes. the purpose of this study was to evaluate the changes in the serum blood glucose levels after the injection of lidocaine with a vasoconstrictor during tooth extraction. materials and methods: in this clinical trial study, we enrolled 60 patients. we extracted mandibular teeth by using inferior al...

background pain is an important consideration after renal surgery. a multimodal approach to postoperative pain management could enhance analgesia by risking fewer side effects after surgery. objectives the aim of this study was to evaluate the clinical efficacy of the subcutaneous infiltration of ketamine and tramadol at the incision site to reduce postoperative pain. methods sixty-four patient...

conclusions there is still not a definitive consensus as to which technique is superior, but including one of the methods in addition to providing the patient with parenteral and enteral drugs could provide better postsurgical analgesia. the aim of this review article is to look at the effectiveness of various local anesthetic techniques available to provide analgesia following laparoscopic sur...

We have examined the effect of extradual injection of 0.5% bupivacaine or normal saline on the progression of spinal anaesthesia in 28 patients undergoing Caesearean section. Three groups were studied. Subarachnoid anaesthesia was established in all patients. Group A (n = 10), the control, received no extradural injection for 20 min. Group B (n = 9) received extradural bupivacaine 10 ml and gro...

i ntroduction: deep and long-lasting anesthesia is essential throughout endodontic treatment. this study was conducted to compare the effect of adding fentanyl to epinephrine-containing lidocaine on depth and duration of local anesthesia in painful maxillary molars with irreversible pulpitis (irp). methods and materials: this randomized double-blind, clinical trial with parallel design was cond...

objective: anesthetic techniques like the akinosi technique were introduced to surmount the problems of the conventional inferior alveolar nerve block (ianb) technique. this study aimed to compare the local anesthetic efficacy of ianb via the conventional and akinosi techniques in patients presenting to the maxillofacial surgery department of school of dentistry, shahid beheshti university. met...

conclusions the volume of the injected anesthetic accelerated the onset of sensory and motor block without affecting the rate of success in our patients. results the onset of sensory and motor block was significantly shorter in the 1.3% lidocaine group than in the 2% lidocaine group (p ≤ 0.05). the success rate of sensory and motor block was not different. the quality (completeness) of sensory ...

background: topical anesthesia has been widely advocated as an important component of atraumatic administration of intraoral local anesthesia. the aim of this study was to use direct observation of children’s behavioral pain reactions during local anesthetic injection using cotton-roll vibration method compared with routine topical anesthesia. materials and methods: forty-eight children partici...

purpose: to compare general anesthesia (ga) with local anesthesia (la) in terms of safety and patient satisfaction. methods: in this interventional case series, 928 consecutive patients who underwent vitreoretinal surgery were included. data for analysis were type of anesthesia and operation, patient compliance, operating conditions and pain scores. general anesthesia was provided with a standa...