title: Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia.
abstract: Local anesthesia may induce systemic complications leading to parasympathetic activity leading to bradycardia and hypotension. We report a case of a 50-year-old man undergoing dental surgery under general anesthesia who experienced severe bradycardia and hypotension after local anesthesia infiltration. Concerns regarding the utilization of a relatively large lumen injection needle for local anesthesia during general anesthesia are discussed.
authors: Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan.
authors: Kenichi
authors: K
authors: Satoh
authors: Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan.
authors: Ayako
authors: A
authors: Ohashi
authors: Division of Special Care Dentistry, Department of Developmental Oral Health Science, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan.
authors: Miho
authors: M
authors: Kumagai
authors: Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, Iwate 020-8505, Japan.
authors: Hideki
authors: H
authors: Hoshi
authors: Department of Anesthesiology, Omagari Kosei Medical Center, Akita 014-0027, Japan.
authors: Kousei
authors: K
authors: Otaka
authors: Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Iwate 020-8505, Japan.
authors: Shigeharu
authors: S
authors: Joh