the use of local anesthesia with lidocaine containing epinephrine in patients with cardiac disease is controversial in the literature. the aim of our study was determining the safety of use the local anesthesia contain epinephrine in patients with ischemic heart disease that undergoing reconstructive surgery. thirty two patients that had known ischemic heart disease and candidate to undergo rec...

The tumescent technique for local anesthesia permits regional local anesthesia of the skin and subcutaneous tissues by direct infiltration. The tumescent technique uses large volumes of a dilute anesthetic solution to produce swelling and firmness of targeted areas. This investigation examines the absorption pharmacokinetics of dilute solutions of lidocaine (0.1% or 0.05%) and epinephrine (1:1,...

OBJECTIVE To compare intraosseous anesthesia (IA) with the conventional oral anesthesia techniques. MATERIAL AND METHOD A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus con...

INTRODUCTION The study was designed as a randomized double-blind trial to evaluate the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine in inferior alveolar nerve block (IANB) and infiltration anesthetic techniques to anesthetize mandibular molars with irreversible pulpitis. METHODS The study was composed of 2 test arms and 1 control arm. Subjects in the test arms received eithe...

background: our aim was to evaluate the effect of intravenous intralipid administration as an antidote on the poisoned patients' glasgow coma scale (gcs), hemodynamic parameters, arterial blood gas analysis, and routine metabolic profile tests (i.e. urea, glucose, sodium, and potassium) in the setting of non-local anesthetic drug overdose. methods: in this randomized controlled trial, a to...

Objective. Recently, some authors reported that maxillary teeth could be extracted without using palatal anesthesia, but they did not clearly specify the extracted teeth. This is important, because apparently the local anesthetic solution infiltrates the maxilla and achieves a sufficient anesthesia in the palatal side. Thus, thickness of the bone may affect the depth of anesthesia. The aim of t...

The chief surgeon noticed a 1 cm well-defined circular growth at the base of his neck and asked a colleague to remove it under local anesthesia. Right from the start of the local anesthetic injection the patient experienced excruciating pain, interrupting the infiltration. About one milliliter had been injected subcutaneously. It was found that 3.4% glutaraldehyde had been injected instead of p...

Submitted on: 06/20/2009 Approved on: 09/10/2009 We declare no confl ict of interest. aBStRaCt Introduction: Needle infiltration of local anesthetic is a painful procedure, thus, a topical anesthetic is a comfortable alternative. However, it is difficult to deliver transcutaneous polar drugs. Iontophoresis is a noninvasive technique that uses electrical current for releasing electrically charge...