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Felipressina: uma alternativa de vasoconstritor viável em pacientes cardiopatas?
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_39714 | 658 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Os anestésicos locais promovem diversas vantagens em procedimentos médicos
dentários, no entanto, possuem como desvantagem a vasodilatação. Com a descoberta e
introdução dos vasoconstritores, surgiu a resolução deste problema. Entretanto, alguns
médicos dentistas, no atendimento a pacientes cardiopatas ainda se sentem inseguros em
relação ao uso desta substância nos seus procedimentos. Neste estudo, realizou-se um
levantamento bibliográfico nas bases de dados e livros com o intutito de esclarecer
sobre o assunto. Nos resultados obtidos, foi encontrado que a felipressina, derivado
sintético da hormona vasopressina é um vasoconstritor referenciado na literatura para
uso em pacientes cardiopatas, pois atua nos recetores não adrenérgicos, o que confere a
esse vasoconstritor a propriedade de não apresentar efeitos arterial e cardíaco
importantes. Verificou-se, também, a relevância da felipressina em medicina dentária,
embora ainda não exista um consenso na literatura, pelo que o seu uso em Portugal
ainda não é tão difundido.
Local anesthetics have several advantages in dental medical procedures, however, they have vasodilation as a disadvantage. With the discovery and introduction of vasoconstrictors, this problem was solved. However, some dentists, when caring for cardiac patients, still feel insecure about the use of this substance in their procedures. In this study, a bibliographic survey was carried out in the databases and books with the aim of clarifying the subject. In the results obtained, it was found that felipressin, a synthetic derivative of the hormone vasopressin, is a vasoconstrictor referenced in the literature for use in cardiac patients, as it acts on non-adrenergic receptors, which gives this vasoconstrictor the property of not having important arterial and cardiac effects. The relevance of felipressin in dental medicine was also verified, although there is still no consensus in the literature, which is why its use in Portugal is still not so widespread.
Local anesthetics have several advantages in dental medical procedures, however, they have vasodilation as a disadvantage. With the discovery and introduction of vasoconstrictors, this problem was solved. However, some dentists, when caring for cardiac patients, still feel insecure about the use of this substance in their procedures. In this study, a bibliographic survey was carried out in the databases and books with the aim of clarifying the subject. In the results obtained, it was found that felipressin, a synthetic derivative of the hormone vasopressin, is a vasoconstrictor referenced in the literature for use in cardiac patients, as it acts on non-adrenergic receptors, which gives this vasoconstrictor the property of not having important arterial and cardiac effects. The relevance of felipressin in dental medicine was also verified, although there is still no consensus in the literature, which is why its use in Portugal is still not so widespread.
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Keywords
Odontologia Felipressina Cardiopatias Anestésicos locais Doenças cardiovasculares Vasoconstritores Dentistry Felypressin Heart diseases Anesthetics Local anesthetics Cardiovascular diseases Vasoconstrictor agents