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(PDF) Dentists' Knowledge of Local Anesthetics, Local Anesthetic Toxicity and Lipid Therapy: A Survey Study | Şeyda Özgünay - Academia.edu
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Bu çalışmanın amacı; diş hekimlerinin lokal anestezikler, lokal anestezik toksisitesi ve lipid tedavisi hakkındaki bilgilerini incelemek ve bu konu hakkındaki farkındalığı artırmaktır. Yöntem: Bursa ilinde çalışmakta olan diş hekimleri çalışmaya dahil edildi. Katılımcılara lokal anestezikler, lokal anestezik toksisitesi ve lipid tedavisi hakkındaki anket formu verildi. Bulgular: Çalışmamız için 600 katılımcı hedeflendi fakat katılımcıların %17'si anketi tamamladı. Katılımcıların yaş ortalaması 40.71 ve çalışma yılı 16.91 idi. %52.9'u kadın ve %55.9'u Sağlık Bakanlığına bağlı kurumlarda çalışmaktaydı. Katılımcıların %19.6'sı lokal anestezik toksisitesi görmüş, %59.4'ü lipid tedavisini hiç duymamıştı, %2.1'i lipid tedavisini biliyordu. Sonuç: Toksisitesinin ölümcül olabilmesi açısından diş hekimleri lokal anestezikler, lokal anestezik toksisitesi ve tedavisi hakkında yeterli bilgiye sahip olmalıdırlar. Her kurumda lokal anesteziklerin sistemik toksisite tedavisinde lipid tedavisinin yönetimine ilişkin talimatlar hazırlanmalıdır ve çabuk ulaşılır bir yerde bulunmalıdır.","publication_date":"2019,,","publication_name":"Journal of Ege University School of Dentistry","grobid_abstract_attachment_id":"88380193"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Dentists' Knowledge of Local Anesthetics, Local Anesthetic Toxicity and Lipid Therapy: A Survey Study","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [189942642]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" 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data-landing_url="https://www.academia.edu/82791834/Dentists_Knowledge_of_Local_Anesthetics_Local_Anesthetic_Toxicity_and_Lipid_Therapy_A_Survey_Study" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="100466691" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/100466691/Farkl%C4%B1_Anestezik_Ajanlar%C4%B1n_Rejyonel_%C4%B0ntraven%C3%B6z_Anestezi_Yap%C4%B1lan_Hastalarda_Elektrokardiyografik_De%C4%9Fi%C5%9Fiklikler_%C3%9Czerine_Etkisi">Farklı Anestezik Ajanların Rejyonel İntravenöz Anestezi Yapılan Hastalarda 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Local Anaesthetic Systemic Toxicity</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="34463223" href="https://independent.academia.edu/NurtenSeringec">Nurten Seringec</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Context: Local anesthetics (LAs) are in widespread use by dental practitioners, and erroneous administration, such as intravenously or exceeding the maximum dose, can cause the life-threatening condition of local anesthetic systemic toxicity (LAST). Aims: The objective of the present study was evaluate the ability of dentists to recognize signs of LAST and quantify how often they have used lipids to treat LAST in dentistry patients. Materials and Methods: The study administered 600 questionnaires that asked about the frequency with which dentists encountered LAST and the symptoms of LAST and its treatment, especially with lipids. Results: The results showed that 520 (86.66%) respondents had never seen LAST, and 404 (67.3%) had no idea about lipid treatment. In addition, 128 (21.3%) had heard about lipid treatment but had inadequate knowledge of it and 59 (9.8%) had read an article about lipid treatment, but only 9 (1.5%) knew how to use lipid treatment. Finally, 80 (13.33%) participants had seen LAST but had used a treatment other than lipids. Conclusion: Dentists and all facilities using LA must be aware of LAST, and knowledge of lipid treatment must be increased by education. 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data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/82009406/Systemic_adverse_reactions_to_local_anesthetics">Systemic adverse reactions to local anesthetics</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="213106119" href="https://independent.academia.edu/SimonaTarana">Simona Tarana</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Acta stomatologica Naissi, 2019</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Systemic adverse reactions to local anesthetics","attachmentId":87853210,"attachmentType":"pdf","work_url":"https://www.academia.edu/82009406/Systemic_adverse_reactions_to_local_anesthetics","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/82009406/Systemic_adverse_reactions_to_local_anesthetics"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="85896030" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/85896030/Varikosel_cerrahisinde_farkl%C4%B1_anestezi_y%C3%B6ntemlerinin_postoperatif_yat%C4%B1%C5%9F_ve_analjezi_kullan%C4%B1m%C4%B1na_etkisi">Varikosel cerrahisinde farklı anestezi yöntemlerinin postoperatif yatış ve analjezi kullanımına etkisi</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="149758892" href="https://harran.academia.edu/BulentKATI">Bulent KATI</a></div><p class="ds-related-work--metadata ds2-5-body-xs">SDÜ Tıp Fakültesi Dergisi, 2021</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Varikosel cerrahisinde farklı anestezi yöntemlerinin postoperatif yatış ve analjezi kullanımına etkisi","attachmentId":90463189,"attachmentType":"pdf","work_url":"https://www.academia.edu/85896030/Varikosel_cerrahisinde_farkl%C4%B1_anestezi_y%C3%B6ntemlerinin_postoperatif_yat%C4%B1%C5%9F_ve_analjezi_kullan%C4%B1m%C4%B1na_etkisi","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/85896030/Varikosel_cerrahisinde_farkl%C4%B1_anestezi_y%C3%B6ntemlerinin_postoperatif_yat%C4%B1%C5%9F_ve_analjezi_kullan%C4%B1m%C4%B1na_etkisi"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="44722906" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/44722906/2_nd_Corresponding_Author_HOD_and_Professor_Department_of_Anaesthesia_RMC_Kakinada_3_rd_Author_Associate_Professor_Department_of_Anaesthesia_RMC_Kakinada_4_th_Author_Associate_Professor_Department_of_Anaesthesia_RMC_Kakinada">2 ; nd Corresponding Author-HOD and Professor, Department of Anaesthesia, RMC, Kakinada 3 rd Author -Associate Professor, Department of Anaesthesia, RMC, Kakinada 4 th Author-Associate Professor, Department of Anaesthesia, RMC, Kakinada</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="2594470" href="https://independent.academia.edu/iosrjournals">IOSR Journals</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Abtract:Background and Aims: The objective is to compare the efficacy of addition of buprenorphine or dexmedetomidine to bupivacaine in sensory and motor blockade duration, two segment regression and time of first analgesic requirement. Use of low-dose spinal anaesthesia is advantageous in elderly as it reduces the hemodynamic and heart rate variability. Methods: sixty patients are randomly allocated into three groups Group A: received 15 mg of 0.5% hyperbaric bupivacaine along with 0.2 ml Normal saline; Group B: received 15 mg of 0.5% hyperbaric bupivacaine along with 60 mcg of buprenorphine; Group C: received 15 mg of 0.5% hyperbaric bupivacaine along with 5 mcg of dexmedetomidine. Data between the 3 groups were compared and analysed using ANOVA test and chi square test. Results: All 60patients completed the study. Postoperative analgesia was not required in the first 24 h in a total of 8 (40%), 12 (60%) and 15 (75%) patients in groups A, B, and D, respectively. Time to S1 regression was 129+/-44 min (Group A), 146+/-53.6 min (Group B) and 172+/-58.7 min (Group C), P = 0.0417 .Time to complete motor recovery was 177+/-56.9 min (Group A), 226+/-60 min (Group B) and 239+/-61.71min (Group C), P < 0.004. Conclusion: Addition of buprenorphine (60 μg) or dexmedetomidine (5 μg) to intrathecal bupivacaine for lower abdominal surgery prolongs the time to the first analgesic request</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"2 ; nd Corresponding Author-HOD and Professor, Department of Anaesthesia, RMC, Kakinada 3 rd Author -Associate Professor, Department of Anaesthesia, RMC, Kakinada 4 th Author-Associate Professor, Department of Anaesthesia, RMC, Kakinada","attachmentId":65204969,"attachmentType":"pdf","work_url":"https://www.academia.edu/44722906/2_nd_Corresponding_Author_HOD_and_Professor_Department_of_Anaesthesia_RMC_Kakinada_3_rd_Author_Associate_Professor_Department_of_Anaesthesia_RMC_Kakinada_4_th_Author_Associate_Professor_Department_of_Anaesthesia_RMC_Kakinada","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/44722906/2_nd_Corresponding_Author_HOD_and_Professor_Department_of_Anaesthesia_RMC_Kakinada_3_rd_Author_Associate_Professor_Department_of_Anaesthesia_RMC_Kakinada_4_th_Author_Associate_Professor_Department_of_Anaesthesia_RMC_Kakinada"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":88380193,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":88380193,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_88380193" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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