Observation on the Analgesic Effect of Bilateral Inferior Alveolar Nerve Block Combined With Parecoxib Sodium for Mandibular Orthognathic Surgery

Background: To compare the analgesic effect and safety of bilateral inferior alveolar nerve block combined with parecoxib sodium analgesia and simple intravenous analgesia pump in analgesia after orthognathic surgery. Methods: Forty patients with simple ascending sagittal split osteotomy and ankle plasty were randomly divided into the experimental group and the control group, with 20 patients in each group. The experimental group received 2 ml 1% on both sides. Ropivacaine was treated with inferior alveolar nerve block anesthesia. Immediately after surgery, parecoxib sodium 40 mg was intravenously administered. The control group was given an intravenous analgesia pump for analgesia. Pain intensity (VAS pain score) and Ramsay sedation score were recorded at 2h, 4h, 8h, 24h, 48h after operation, and the incidence of postoperative adverse reactions was observed. Results: There was no significant difference in pain intensity and Ramsay sedation score between the two groups at each time point (P>0.05). During the analgesic treatment, the incidence of nausea and vomiting (P=0.046) in the experimental group was significantly lower than that in the control group (P<0.05). Conclusion: Bilateral inferior alveolar nerve block combined with parecoxib sodium analgesia and simple intravenous analgesia pump are effective for analgesia after mandibular orthognathic surgery, but the incidence of adverse reactions is significantly lower, more suitable for Analgesia after mandibular orthognathic surgery.

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Observation on the Anesthesia Effect of Ultrasound-Guided Nerve Block for Elderly Patients with Lower Limb Fractures

Proceedings of Anticancer Research ◽

10.26689/par.v5i3.2106 ◽

2021 ◽

Vol 5 (3) ◽

Author(s):

Lihong Cheng ◽

Shanzhi Luo

Keyword(s):

Elderly Patients ◽

Nerve Block ◽

Lower Limb ◽

Adverse Reactions ◽

Femoral Nerve ◽

Control Group ◽

Ultrasound Guided ◽

Lower Limb Fractures ◽

Limb Fractures ◽

Experimental Group

Objective: To explore the anesthesia effect of ultrasound-guided nerve block in elderly patients with lower limb fractures. Methods: From November 2017 to November 2020, 50 elderly patients with lower limb fractures in our hospital were divided into experimental group (25 cases, general anesthesia + femoral nerve and sciatic nerve block) and control group (25 cases, general body anesthesia). Compare the MAP, HR, anesthesia effect, and adverse reactions between the two groups at each time period. Results: Before induction, the difference in MAP and HR between the two groups of patients did not form, p>0.05; the MAP and HR of the experimental group were compared with the control group at the time of skin incision, 1 hour during the operation, and removal of the laryngeal mask, P?0.05; the time of extubation in the experimental group (14.28±3.18) min, awake time (5.57±1.32) min, orientation recovery time (11.89±2.23) min, propofol dosage (191.36±22.48) mg, remifentanil dosage (0.23±0.04) mg, Compared with the control group, P<0.05; the adverse reaction rate of the experimental group (8%, 2/25) was lower than that of the control group (32%, 8/25), P<0.05. Conclusion: The use of ultrasound-guided femoral nerve and sciatic nerve block for elderly patients with lower limb fractures can enhance the effect of anesthesia, effectively reduce the use of anesthetics, and have fewer adverse reactions. It is worthy of promotion.

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Técnica infiltrativa del nervio mentoniano como alternativa para la anestesia de la primera molar decidua mandibular

REVISTA ODONTOLOGÍA PEDIÁTRICA ◽

10.33738/spo.v17i1.110 ◽

2018 ◽

Vol 17 (1) ◽

Author(s):

Rosa Baldeon-Gutierrez

Keyword(s):

Nerve Block ◽

Inferior Alveolar Nerve ◽

Control Group ◽

Analog Scale ◽

Anesthetic Effect ◽

Palabras Clave ◽

Mandibular Molar ◽

And Control ◽

Pulpal Anesthesia ◽

Experimental Group

Objetivo: Comparar el efecto anestésico de la técnica infiltrativa del nervio mentoniano con la técnica troncular del dentario inferior en terapiapulpar de la primera molar primaria mandibular en odontopediatría. Metodología: La muestra estuvo conformada por 16 pacientes (11 niñosy 5 niñas) divididos en grupo de estudio (anestesia infiltrativa mentoniana) y grupo control (troncular dentario inferior) ambos con (n=8).Se empleó un diseño de investigación experimental basado en observación estructurada con la escala de Houpt modificada solo para llantoy movimiento y encuesta estructurada a partir de la escala analoga visual. Resultados: Los datos se analizaron mediante el paquete estadísticoSPSS versión 22, donde se observó que el grupo experimental tuvo un valor estadístico muy similar al grupo control reportando valores de p de 1.00. El 87.5% no manifestó dolor a la apertura y en la escala analoga visual un 62.5% no manifestó ninguna molestia. Conclusiones: Ambas técnicas resultaron conferir un buen efecto anestésico durante la apertura cameral, por lo que se puede confirmar que la técnica infiltrativa mentoniana es util para la anestesia pulpar solo de la primera molar primaria mandibular, tal como se reporta en otras investigaciones. Palabras clave: Anestesia dental, pulpotomia, odontología pediátrica. Abstract Objective: To compare the anesthetic effect of infiltrative technique of mental nerve with the nerve block technique inferior alveolar nerve for pulp therapy of the first mandibular molar decidua in children. Material and Methods: The sample consisted of 16 patients (11 boys and 5 girls) divided into a study group (infiltrative mentonian anesthesia) and control group (alveolar nerve block) both with (n = 8). We used an experimental research design based on structured observation with the Houpt scale modified only for crying and movement and a structured survey based on the visual analogue scale. Results: Data were analyzed using the statistical package SPSS version 22, where it was observed that the experimental group had a statistical value very similar to the control group reporting p values of 1.00. 87.5% did not show pain at the opening and in the visual analog scale 62.5% did not show any discomfort. Conclusions: Both techniques were found to confer a good anesthetic effect during chamber opening, so it can be confirmed that the infiltrative mentonian technique is useful for pulpal anesthesia only of the primary primary mandibular molar, as reported in other studies. Keywords: dental anesthesia, infiltration, pulpotomies, pediatric dentristy.

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Effect of Dexmedetomidine Combined with Ropivacaine on Cognitive Dysfunction and Inflammatory Response in Patients Undergoing Craniocerebral Surgery

BioMed Research International ◽

10.1155/2021/4968300 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Yang Liu ◽

Hongwei Zhang ◽

Wenhua Zhang

Keyword(s):

Cognitive Function ◽

Adverse Reactions ◽

Onset Time ◽

Sedation Score ◽

Control Group ◽

Inflammatory Factor ◽

Function Score ◽

Factor Expression ◽

Cognitive Function Score ◽

Experimental Group

Objective. To study the effects of dexmedetomidine in combination with ropivacaine in patients undergoing craniocerebral surgery and their efficiency on cognitive function and inflammatory response of patients. Methods. 100 patients undergoing craniocerebral surgery in our hospital from November 2018 to September 2020 were randomly selected and divided into a control group and an experimental group by drawing lots, with 50 cases in each group. Patients in the control group received routine anesthesia, while those in the experimental group received 1 μg/kg of dexmedetomidine combined with 0.5% of ropivacaine for anesthesia to compare the anesthesia onset time, analgesic time, postoperative awake time, Social Disability Screening Schedule (SDSS) cognitive function score after waking, visual analogue scale (VAS) pain score, Ramsay sedation score, incidence of adverse reactions, postoperative inflammatory factor expression levels, and changes in heart rate, oxygen saturation, and blood pressure at T0, T1, T2, T3, and T4 between the two groups. Results. The anesthesia onset time, SDSS cognitive function score after waking, VAS pain score, Ramsay sedation score, incidence of adverse reactions, and postoperative inflammatory factor expression levels in the experimental group were significantly lower than those in the control group ( P < 0.05 ). The analgesic time and postoperative awake time in the experimental group were significantly longer than those in the control group, with statistical significance ( P < 0.05 ). There were no statistically significant differences in the changes of heart rate, oxygen saturation, and blood pressure at T0, T1, T2, T3, and T4 between the two groups ( P > 0.05 ). Conclusion. Dexmedetomidine combined with ropivacaine has high application value in craniocerebral surgery.

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Local Anaesthetic Efficacy of 4 % Articaine for Inferior Alveolar Nerve Block and Buccal Infiltration in Teeth with Irreversible Pulpitis - A Randomized, Double-Blind Clinical Trial

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/535 ◽

2021 ◽

Vol 10 (32) ◽

pp. 2615-2619

Author(s):

PradeepKumar Buggaveeti ◽

Sirisha Kantheti ◽

Jyothi Mandava ◽

Ravi Kumar Konagala ◽

Ramesh Penumaka ◽

...

Keyword(s):

Nerve Block ◽

Visual Analog Scale ◽

Inferior Alveolar Nerve ◽

Test Group ◽

Control Group ◽

Inferior Alveolar Nerve Block ◽

Analog Scale ◽

The Difference ◽

Buccal Infiltration ◽

Irreversible Pulpitis

BACKGROUND Achieving profound pulpal anaesthesia with an inferior alveolar nerve block (IANB) in lower molars suffering irreversible pulpitis is difficult and quite challenging. In many instances, supplemental anaesthesia is required during endodontic therapy. The present study was done to evaluate the efficiency of 2 % lidocaine and 4 % articaine comparatively, as an inferior alveolar nerve block (IANB) and supplemental infiltration buccally in providing complete mandibular molar anaesthesia. METHODS This is a randomized double-blinded study. Sixty patients were categorized randomly into test group (n= 30) and control group (n= 30). Patients in the test group were anaesthetized with 4 % articaine (1:100,000 epinephrine dilution), and those in the control group were anaesthetized with 2 % lidocaine (1:80,000 epinephrine dilution). The Heft-Parker visual analog scale (HP-VAS) was utilized for rating patient’s pain during the treatment procedure. In case of pain after IANB, a supplemental buccal infiltration was given with the same anaesthetic used for IANB. Complete pain absence or mild pain was regarded as an anaesthetic efficacy, and moderate to severe pain was regarded as an anaesthetic failure. Recorded data was analyzed using the chi-square test and two proportion Z test. The set significance level was 0.05. RESULTS After an IANB, observed anaesthetic success was 56 % in the articaine (test) group and that in the lidocaine (control) group was 33 %. After buccal infiltration, it was 92 % in the articaine group and 75 % in the lidocaine group. The difference was not found significant between the two groups statistically following IANB and infiltration buccally. The overall success of articaine was 96 %, and lidocaine was 83 %. CONCLUSIONS Compared to 2 % lidocaine, 4 % articaine was found more efficient in achieving profound pulpal anaesthesia in mandibular molars suffering irreversible pulpitis after IANB and buccal infiltration though the difference was insignificant statistically. KEY WORDS Articaine, Lidocaine, Inferior Alveolar Nerve Block, Buccal Infiltration, Heft-Parker Visual Analog Scale, Irreversible Pulpitis

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The use of mobile-aided learning in education of local anesthesia for the inferior alveolar nerve block

Vojnosanitetski pregled ◽

10.2298/vsp180622154m ◽

2020 ◽

Vol 77 (8) ◽

pp. 839-843 ◽

Cited By ~ 4

Author(s):

Rasa Mladenovic ◽

Leonardo Pereira ◽

Filip Djordjevic ◽

Zoran Vlahovic ◽

Kristina Mladenovic ◽

...

Keyword(s):

Local Anesthesia ◽

Nerve Block ◽

Inferior Alveolar Nerve ◽

Control Group ◽

Practical Implementation ◽

Clinical Test ◽

Practical Training ◽

Inferior Alveolar Nerve Block ◽

Mean Values ◽

Additional Education

Background/Aim. Dental education has developed over the years, and various technologies have been included. Considering the fact that mobile devices are an imperative of modern time, the aim of our research was to evaluate effectiveness of Mobile-Aided Learning on practical administering the inferior alveolar nerve block (IANB). Methods. This prospective study involved 34 students who were randomly divided into two groups: G1 (control) group with 16 students and G2 (study) group with 18 students. Students of both groups previously successfully completed theoretical and practical training provided by the curriculum. For the purpose of additional education, students of the G2 group used a mobile application for 3D simulation of local anesthesia (Mobile-Aided Learning) outside the dental office for a period of one semester. After that, all students completed a post-clinical questionnaire. Results. The average time for performing anesthesia by participants in the G1 group was 70.54 ? 20.16 seconds, while in the G2 group it was 57.13 ? 17.45 seconds, which was significantly shorter (p ? 0.05). A successful anesthesia application was higher in the G2 group (83.3%) compared to the G1 group (75%). The results of the post-clinical test questionnaire also indicated difference in the mean values of the responses to all questions, which was in favor of the G2 group participants. Conclusion. Application of Mobile-Aided Learning showed a significantly higher efficiency in student education for practical implementation of the IANB.

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The Effect of Buccal Infiltration Administration of Clonidine on the Success Rate of Inferior Alveolar Nerve Block

Case Medical Research ◽

10.31525/ct1-nct04186299 ◽

2019 ◽

Author(s):

Keyword(s):

Success Rate ◽

Nerve Block ◽

Inferior Alveolar Nerve ◽

Inferior Alveolar Nerve Block ◽

Buccal Infiltration

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Effectiveness of Buccal Infiltration and Inferior Alveolar Nerve Block With Articaine for Extraction of Mandibular Teeth- A Randomized Clinical Trial

Case Medical Research ◽

10.31525/ct1-nct04294745 ◽

2020 ◽

Author(s):

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Nerve Block ◽

Inferior Alveolar Nerve ◽

Inferior Alveolar Nerve Block ◽

Mandibular Teeth ◽

Buccal Infiltration

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RCT on the effectiveness of the intraligamentary anesthesia and inferior alveolar nerve block on pain during dental treatment

Clinical Oral Investigations ◽

10.1007/s00784-021-03787-x ◽

2021 ◽

Author(s):

Bahaa R. Youssef ◽

Andreas Söhnel ◽

Alexander Welk ◽

Mohamed H. Abudrya ◽

Mohamed Baider ◽

...

Keyword(s):

Postoperative Complications ◽

Nerve Block ◽

Rating Scale ◽

Dental Treatment ◽

Inferior Alveolar Nerve ◽

Numeric Rating Scale ◽

Inferior Alveolar Nerve Block ◽

Posterior Teeth ◽

Mandibular Posterior Teeth ◽

Numeric Rating

Abstract Objective To compare the effectiveness and complications of intraligamentary anesthesia (ILA) with conventional inferior alveolar nerve block (IANB) during injection and dental treatment of mandibular posterior teeth. Materials and methods In this randomized, prospective clinical trial, 72 patients (39 males, 33 females), scheduled for dental treatment of mandibular posterior teeth, were randomly allocated to ILA group (n = 35) received ILA injection or IANB group (n = 37) received the conventional IANB. Our primary outcome was to assess pain and stress (discomfort) during the injection and dental treatment, using the numeric rating scale (NRS) from 0 to 10 (0 = no pain, 10= the worst pain imaginable), whereas recording 24-h postoperative complications was our secondary outcomes. Results Patients in ILA group reported significantly less pain during injection when compared with IANB group (p = 0.03), while pain during dental treatment was similar in both groups (p = 0.2). Patients in both groups also reported similar law values of discomfort during treatment (p = 0.7). Although no signs of nerve contact or any other postoperative complications were observed, five patients in IANB group (none in ILA group) reported temporary irritations. Conclusion This study showed equivalent effectiveness of both intraligamentary anesthesia and conventional inferior alveolar nerve block, for pain control during routine dental treatment of mandibular posterior teeth. Nevertheless, ILA showed significantly less pain during injection. No major postoperative complications in both groups were observed. Clinical relevance ILA could be considered as an effective alternative for routine dental treatment. Trial registration NCT04563351

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