LOCAL ANESTHETICS IN PATIENTS WITH CARDIOVASCULAR DISEASES

Abstract

SUMMARY A significant problem in the dental medicine is pain alleviation. Many studies in the dental anesthesiology re-sult in the production of new agents for locoregional anesthesia. Objective: This article aim to present the results of the last studies on the effect of the local anesthetics used in the oral surgery on patients with cardiovascular diseases. Material: A general review of the existing literature on the effect of the adrenaline, included as vasoconstrictor in the local anesthetics, used in patients with cardiovascular dis-eases is made. The benefits of vasoconstrictors for the qual-ity of the anesthetic effect are proven. Conclusion: A small amount of adrenaline in the anesthetic solution does not re-sult in complications development in patients with control-led cardiovascular diseases. Articaine is recommended agent of first choice for local anesthesia in the oral surgery. INTRODUCTION Pain management has long been an important prob-lem in medicine. It becomes particularly important when the role of pain alleviation for the favorable outcome of the heal-ing process is discussed. Pain management in dental medi-cine where most of procedures are painful is of superior im-portance. Number of studies in the field of dental anesthesia resulted in the development of new agents for locoregional anesthesia and new methods for pain management. OBJECTIVE: The aim of this article is to present the results of the last studies on the effect of the local anesthetics used in the oral surgery on patients with cardiovascular diseases.