Lidocaine Tape Application for 3 Hours Prevents Vasovagal Syncope During Venipuncture: A Case Series

Vasovagal syncope (VVS) or reflex is usually caused by physical and mental stress-related factors, like pain, anxiety, and fear, and it is one of the most frequent complications during dental treatment. Two patients, both with histories of dental phobia and of VVS during vaccination, venipuncture, a...

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Bibliographic Details
Published in:Anesthesia progress 2023-03, Vol.70 (1), p.34-36
Main Authors: Shiraishi, Kaho, Goto, Takashi, Oya, Shoko, Hayashi, Shintaro, Sakurai, Satoru
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Anesthetics
Anesthetics, Local
Body mass index
Brief Communications from the Japanese Dental Society of Anesthesiology
Catheters
Dentistry
Disease control
Electrocardiography
Fainting
Fear & phobias
Humans
Immunization
Lidocaine
Local anesthetics
Nitrous oxide
Pain
Pain - etiology
Pathogenesis
Patient safety
Phlebotomy
Phlebotomy - adverse effects
Sinuses
Syncope, Vasovagal - etiology
Syncope, Vasovagal - prevention & control
Vaccination
Vasovagal syncope
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Summary:Vasovagal syncope (VVS) or reflex is usually caused by physical and mental stress-related factors, like pain, anxiety, and fear, and it is one of the most frequent complications during dental treatment. Two patients, both with histories of dental phobia and of VVS during vaccination, venipuncture, and dental treatment with local anesthetics, were scheduled for dental treatment under intravenous (IV) sedation. However, both experienced episodes of VVS that occurred during venipuncture using a 24-gauge indwelling needle. We determined that pain was the main trigger of VVS for these patients and attempted to reduce venipuncture-associated pain using 60% lidocaine tape applied 3 hours before venipuncture at their next dental visits, respectively. Use of the lidocaine tape was successful and permitted comfortable placement of the IV catheter without any onset of VVS.
ISSN:0003-3006
1878-7177
DOI:10.2344/anpr-70-01-03