Cambios hemodinámicos después de la administración de anestésicos locales en pacientes de la clínica de la UCSG.

Abstract

Introduction: The administration of local anesthesia with vasoconstrictors can cause significant increases in blood pressure and heart rate, as well as electrocardiographic changes in anxious patients during dental procedures. Objective: To determine the hemodynamic changes in healthy patients during dental care at the dental Clinic of UCSG. Materials and methods: A cross-sectional research study with an observational and descriptive design was conducted. The sample size of the study was 53 patients. Measurement instruments: Digital blood pressure monitor, data registration form, and a CORAH Score Questionnaire to assess patient anxiety levels. Results: The means systolic pressure at different times during the procedure showed an increase from 125.57 mmHg in the first measurement to 128.58 mmHg in the second, with a decrease to 127.7 mmHg in the third measurement. Heart rate (bpm) increase from 78.38 beats per minute (bpm) in the first measurement to 82.49 bpm in the second, stabilizing near 80 bpm in the third. Spearman's correlation test shows a significant correlation between CORAH range, systolic pressure and heart rate (p < 0.01). Conclusions: The findings of the study reveal that during dental care in the surgical area, specifically in dental extractions, variations in the hemodynamic parameters of patients are observed. These variations are influenced by both the dental intervention and the levels of anxiety experienced.