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<p>Local anesthetics (Part III): use in medically complex patients<br><br>(This Clinical Update is part three of a three-part series.)<br><br>Lieutenant Commander Demetrio Domingo, DC, USN, and Captain Thomas Canaan, DC, USN<br><br>Purpose<br><br>Continual advances in health care and technology mean patients with increasingly complex medical conditions are living longer, more productive lives and are better able to seek dental care in outpatient settings. The practitioner must be prepared to deliver care safely to these patients, taking into consideration the pharmacology of medications used in dentistry.<br><br>Local anesthetic use is routine and remarkably safe, but in the medically complex patients two factors must be taken into consideration:<br>• the presence of disease states that may be affected by the local anesthetic agent, and<br>• the systemic effects of vasoconstrictors<br><br>The purpose of this clinical update is to discuss potential adverse reactions that may result from the use of local anesthetics in medically complex patients and provide recommendations to minimize the occurrence of these untoward events.
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<br>Subjects: Anesthetics; Local ; Dentistry</div>
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U.S. Navy. Naval Postgraduate Dental School</div>
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<dd><a rel="nofollow" class="external free" href="https://archive.org/download/02011LocalAnestheticsPartIII/02_-_011%20Local%20anesthetics%20Part%20III.pdf">https://archive.org/download/02011LocalAnestheticsPartIII/02_-_011%20Local%20anesthetics%20Part%20III.pdf</a></dd></dl>