PMID- 24838895
OWN - NLM
STAT- MEDLINE
DCOM- 20141215
LR  - 20231110
IS  - 1980-5322 (Electronic)
IS  - 1807-5932 (Print)
IS  - 1807-5932 (Linking)
VI  - 69
IP  - 5
DP  - 2014
TI  - Peripheral oxygen saturation, heart rate, and blood pressure during dental 
      treatment of children with cyanotic congenital heart disease.
PG  - 314-8
AB  - OBJECTIVES: In this observational study, we evaluated the peripheral oxygen 
      saturation (SpO2), heart rate, and blood pressure of children with cyanotic 
      congenital heart disease who were undergoing dental extraction. METHODS: 
      Forty-four patients between the ages of 6 and 12 years who underwent upper 
      primary tooth extraction were included in the study. Of these, 20 patients were 
      in the cyanotic congenital heart disease group and 24 were in the control group. 
      RESULTS: Peripheral oxygen saturation, heart rate, and systolic blood pressure in 
      the cyanotic congenital heart disease group varied quite significantly during the 
      treatment protocol (p<0.05), with values of 80.5% (+/-7.6) to 82.8% (+/-7.8), 95.3 
      beats per minute (bpm) (+/-11.3) to 101.3 bpm (+/-9.8), and 93.6 mm Hg (+/-13,3) to 
      103.8 mm Hg (+/-12.7), respectively. The variations in the control group during the 
      procedure were also significant. CONCLUSIONS: The changes observed during the 
      study protocol, although statistically significant, were mild and lacked clinical 
      relevance. The results indicate that dental treatment of children with cyanotic 
      heart disease using a standardized protocol in decentralized offices without the 
      support of a surgical center is safe.
FAU - Dutra, Rosane Menezes Faria
AU  - Dutra RM
AD  - Heart Institute (InCor), Pulmonary Division, Hospital das Clinicas da Faculdade 
      de Medicina da Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Neves, Itamara Lucia Itagiba
AU  - Neves IL
AD  - Heart Institute (InCor), Dentistry Division, Hospital das Clinicas da Faculdade 
      de Medicina da Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Neves, Ricardo Simoes
AU  - Neves RS
AD  - Heart Institute (InCor), Dentistry Division, Hospital das Clinicas da Faculdade 
      de Medicina da Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Atik, Edmar
AU  - Atik E
AD  - Heart Institute (InCor), Cardiology Division, Hospital das Clinicas da Faculdade 
      de Medicina da Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Santos, Ubiratan de Paula
AU  - Santos Ude P
AD  - Heart Institute (InCor), Pulmonary Division, Hospital das Clinicas da Faculdade 
      de Medicina da Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Clinics (Sao Paulo)
JT  - Clinics (Sao Paulo, Brazil)
JID - 101244734
RN  - 0 (Anesthetics, Local)
RN  - 98PI200987 (Lidocaine)
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Anesthetics, Local/therapeutic use
MH  - Blood Pressure/drug effects/*physiology
MH  - Child
MH  - Cyanosis/physiopathology
MH  - Dental Anxiety/psychology
MH  - Heart Defects, Congenital/*physiopathology
MH  - Heart Rate/drug effects/*physiology
MH  - Humans
MH  - Lidocaine/therapeutic use
MH  - Oximetry
MH  - Oxygen/*blood
MH  - Tooth Extraction
PMC - PMC4012232
COIS- No potential conflict of interest was reported.
EDAT- 2014/05/20 06:00
MHDA- 2014/12/17 06:00
PMCR- 2014/05/01
CRDT- 2014/05/20 06:00
PHST- 2013/07/02 00:00 [received]
PHST- 2013/10/03 00:00 [accepted]
PHST- 2014/05/20 06:00 [entrez]
PHST- 2014/05/20 06:00 [pubmed]
PHST- 2014/12/17 06:00 [medline]
PHST- 2014/05/01 00:00 [pmc-release]
AID - S1807-5932(22)00911-5 [pii]
AID - cln_69p314 [pii]
AID - 10.6061/clinics/2014(05)03 [doi]
PST - ppublish
SO  - Clinics (Sao Paulo). 2014;69(5):314-8. doi: 10.6061/clinics/2014(05)03.