Hemodynamic, ventilator, and ECG changes in pediatric patients undergoing extraction

Journal of Indian Society of Pedodontics and Preventive Dentistry. 2013;31(1):10-16 DOI 10.4103/0970-4388.112393

 

Journal Homepage

Journal Title: Journal of Indian Society of Pedodontics and Preventive Dentistry

ISSN: 0970-4388 (Print); 1998-3905 (Online)

Publisher: Wolters Kluwer Medknow Publications

Society/Institution: Indian Society of Pedodontics and Preventive Dentistry

LCC Subject Category: Medicine: Dentistry

Country of publisher: India

Language of fulltext: English

Full-text formats available: PDF, HTML, ePUB

 

AUTHORS

Y K Sanadhya
S Sanadhya
S Jalihal
R Nagarajappa
G Ramesh
M Tak

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 39 weeks

 

Abstract | Full Text

Background: Dental treatment induces pain anxiety and fear. This study was conducted to assess the changes in hemodynamic, ventilator, and electrocardiograph changes during extraction procedure among 12-15-year-old children and compare these changes with anxiety, fear, and pain. Materials and Methods: A purposive sample of 60 patients selected based on inclusion and exclusion criteria underwent study procedure in the dental OPD of a medical college and hospital. The anxiety, fear, and pain were recorded by dental anxiety scale, dental fear scale, and visual analogue scale, respectively, before the start of the procedure. The systolic blood pressure, diastolic blood pressure, heart rate, oxygen saturation, and electrocardiogram changes were monitored during the extraction procedure. The recording was taken four times (preinjection phase, injection, extraction, and postextraction) and was analyzed. Results: At the preinjection phase the mean vales were systolic blood pressure (128 ± 11.2), diastolic blood pressure (85.7 ± 6.3), heart rate (79.7 ± 9.3), and oxygen saturation (97.9 ± 5.8). These values increased in injection phases and decreased in extraction phase and the least values were found after 10 min of procedure and this relation was significant for all parameters except oxygen saturation (P = 0.48, NS). ECG abnormalities were seen among 22 patients and were significant before and after injection of Local anesthetic (P = 0.0001, S). Conclusions: Anxiety, fear, and pain have an effect on hemodynamic, ventilator, and cardiovascular parameters during the extraction procedure and hence behavioral management has to be emphasized among children in dental clinics.