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My first syncope (fainting spell) by Haynes Darlington M.Sc. PharmD.
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My first syncope (fainting spell) |
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Education,Health
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I initially met the patient during the hygiene recall. I diagnosed for 4Q SRP due to heavy bleeding and pocketing (4-5mm), and replacement of a few bad overhang amalgams that shred floss. She has complained of bad odor and bleeding in those areas. Today, before treatment, I reviewed medical history with the patient. She stated that she has fainted in the past after anesthetic injection. I took it to heart, but I wasn't ready for what about to happen. I gave 3 carpules of 4% septocaine (articane) with 1:100,000 epinephrine. One for LR block, one for LL block via ART technique, aspirated as always (negative for intravascular injection), and one for UR infiltration. Before I could infiltrate the UL, the patient said "I don't feel well." I asked her if she was ok. I was prepared, and sat her upright immediately. She went blank on me! Just like that! Her legs were twitching! I was so nervous...ready to call 911. After 1-2 minutes, I aksed if she was ok and could hear me, she said "yeah." Her face was pale and was sweating and her palms very warm, she complained that she had difficulty breathing, and saw "stars" as well as having stomach cramps. I checked her blood pressure. Please e-mail us at localanesthetics@yahoo.ca M.Sc. PharmD. CCPE
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