Volume : VI, Issue : VIII, August - 2017

Severe vasovagal reaction in dental procedure.

Dr. Jahanvi Arvindbhai Jethva, Dr. Viren Rameshchandra Vanza

Abstract :

 Vasovagal syncope is a sudden loss of counsciousness mediated by the vagus nerve. It occurs when the vagus nerve is overreactive to certain triggers, such as the sight of blood or extreme emotional distress, and causes a sudden drop in blood pressure ,pulse or both. It is the most common type of fainting and most frequently found in adolescents and in older adults. We are presenting a case of 23 year old female came for tooth extraction of third molar,no past history of any cardiac disease,diabetes,asthma,epilepsy or any major illness .Patient was very much anxious about the procedure as she visited first time for any such procedure. After proper counseling and written consent ,she was taken to dental chair for procedure .she was still anxious ,and again counseling done,but even before starting procedure, when instrument trolly was getting prepared,she suddenly collapsed. Immediately TRENDELENBURG POSITION given .Her BP fall to 94/60 mmhg,and pulse was reduced to alarming 40 beats per minute, immediately atropine 2cc(1.2 mg) diluted in 10cc ns given fast iv bolus .After that patients heart rate quickly regained to 102 beats per minute and she started gaining consciousness .After that procedure was not done and she was sent to physician for her further checkup.Her 2d echo,TMT,BP,pulse,and her routine cardio,respiratory,and neurological examination was normal.Vaso vagal syncope is rarely that severe.Almost fatal severity of vasovagal syncope made us to report this case. 

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

DR.JAHANVI ARVINDBHAI JETHVA, DR.VIREN RAMESHCHANDRA VANZA, Severe vasovagal reaction in dental procedure., GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-8, AUGUST-2017

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