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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Successful pulpal anesthesia for symptomatic irreversible pulpitis.

Melissa Drum, Al Reader, John Nusstein

Journal of the American Dental Association (1939)

|February 14, 2017

Summary

This summary is machine-generated.

Achieving profound pulpal anesthesia for symptomatic irreversible pulpitis can be challenging. This review identifies effective supplemental anesthetic techniques and medications to improve patient comfort during endodontic therapy.

Keywords:

Anesthesia anesthetics inferior alveolar nerve block irreversible pulpitis symptomatic irreversible pulpitis

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Area of Science:

Dentistry
Endodontics
Anesthesiology

Background:

Profound pulpal anesthesia is difficult in symptomatic irreversible pulpitis cases.
Inferior alveolar nerve blocks may be insufficient for endodontic therapy in these patients.

Purpose of the Study:

To review the literature on achieving adequate pulpal anesthesia for endodontic therapy.
To identify effective supplemental anesthetic techniques and medications for symptomatic irreversible pulpitis.

Main Methods:

Literature review of studies on pulpal anesthesia for endodontic therapy.
Analysis of evidence for supplemental anesthetic techniques and medications.

Main Results:

Supplemental techniques and medications can improve pulpal anesthesia.
Evidence supports specific approaches for managing anesthesia in these challenging cases.

Conclusions:

Effective supplemental anesthetic strategies exist for symptomatic irreversible pulpitis.
Recommendations are provided based on current evidence to enhance patient care.