Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia

Kenichi Satoh; Ayako Ohashi; Miho Kumagai; Hideki Hoshi; Kousei Otaka; Shigeharu Joh

doi:10.1155/2015/896196

Case Reports in Dentistry (Jan 2015)

Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia

Kenichi Satoh,
Ayako Ohashi,
Miho Kumagai,
Hideki Hoshi,
Kousei Otaka,
Shigeharu Joh

Affiliations

Kenichi Satoh: Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan
Ayako Ohashi: Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan
Miho Kumagai: Division of Special Care Dentistry, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan
Hideki Hoshi: Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, Iwate 020-8505, Japan
Kousei Otaka: Department of Anesthesiology, Omagari Kosei Medical Center, Akita 014-0027, Japan
Shigeharu Joh: Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan

DOI: https://doi.org/10.1155/2015/896196
Journal volume & issue: Vol. 2015

Abstract

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Local anesthesia may induce systemic complications leading to parasympathetic activity leading to bradycardia and hypotension. We report a case of a 50-year-old man undergoing dental surgery under general anesthesia who experienced severe bradycardia and hypotension after local anesthesia infiltration. Concerns regarding the utilization of a relatively large lumen injection needle for local anesthesia during general anesthesia are discussed.

Published in Case Reports in Dentistry

ISSN: 2090-6447 (Print); 2090-6455 (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Medicine: Dentistry
Website: https://www.hindawi.com/journals/crid/

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