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Related Experiment Videos

Intraosseous anesthesia: a review.

R Brown1

  • 1Department of Endodontics, University of the Pacific School of Dentistry, San Francisco, CA 94115, USA.

Journal of the California Dental Association
|March 22, 2000
PubMed
Summary
This summary is machine-generated.

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Intraosseous anesthesia offers effective pain relief, especially when conventional methods fail. While it can cause temporary pain and increased heart rate, supplemental intraosseous anesthesia provides long-lasting profound anesthesia.

Area of Science:

  • Dentistry
  • Anesthesiology
  • Pain Management

Background:

  • Intraosseous (IO) injection devices have gained attention for local anesthesia delivery.
  • Available devices include Stabident, Hypo Brand Intraosseous Needle, and Cyberjet.
  • The Stabident System is widely used and has available research.

Purpose of the Study:

  • To review the effectiveness and patient experience of intraosseous anesthesia.
  • To compare primary and supplemental intraosseous anesthesia efficacy.
  • To document potential side effects and complications associated with intraosseous anesthesia.

Main Methods:

  • Review of published research on intraosseous anesthesia devices.
  • Analysis of efficacy rates for primary and supplemental IO anesthesia.

Related Experiment Videos

  • Examination of patient-reported outcomes, including pain and cardiovascular effects.

    • Main Results:

    • Primary IO anesthesia effectiveness ranges from 45% to 93% with short duration.
    • Supplemental IO anesthesia is 80% to 90% effective, providing long-lasting anesthesia (≥60 minutes).
    • 46%-100% of patients experienced increased heart rate with vasoconstrictors; 2%-27% reported moderate to severe pain during the procedure.

    Conclusions:

    • Intraosseous anesthesia is a viable option, particularly as a supplemental technique for profound, long-duration pain control.
    • While generally effective, potential side effects include procedural pain, increased heart rate, and postoperative complications.
    • Further research may refine techniques and patient management for intraosseous anesthesia.