Does Articular Pressure Change Vital Signs During Temporomandibular Joint Arthrocentesis?

Year 2024, Volume: 17 Issue: 1, 129 - 136, 28.03.2024

Fatih Çelik , Samih Diyarbakır , Murat Kaya , Elif Çelik

https://doi.org/10.18185/erzifbed.1351751

Abstract

Objective: The aim of this study was to compare the vital signs as mean arterial pressure and heart rate of patients undergoing two different temporomandibular joint (TMJ) arthrocentesis techniques.
Methods: Thirty patients received TMJ arthrocentesis with either double puncture arthrocentesis (DPA) or single puncture arthrocentesis (SPA). Blood pressure and heart rate were assessed preoperatively, during the application of local anesthesia, and at needle insertion into the joint cavity, the 5th and 10th minute of the procedure, and the end of the procedure.
Results: The heart rate and mean arterial pressure were highest during anesthesia and needle insertion (P <0.05). Heart rate and mean arterial pressure scores were statistically higher in SPA group.
Conclusion: It is necessary to be more cautious in patients receiving SPA as blood pressure and heart rate may increase.

Keywords

Temporomandibular Joint, Arthrocentesis, blood pressure, heart rate

Ethical Statement

This study was approved from the Erzincan Binali Yildirim University School of Medicine Clinical Research Ethics Committee (2020/03-16)

Thanks

The authors would like to thank Dr. Fatih TAŞKESEN for his contribution to the planning and writing of this study.

Temporomandibular Eklem Artrosentezinde Eklem Basıncı Yaşamsal Bulguları Değiştirir mi?

Abstract

Amaç: Bu çalışmanın amacı, iki farklı temporomandibular eklem (TME) artrosentez tekniği uygulanan hastaların ortalama arter basıncı ve kalp hızı gibi yaşamsal bulgularını karşılaştırmaktır.
Yöntemler: Otuz hastaya; çift iğne girişli artrosentez veya tek iğne girişli artrosentez yöntemleri ile TME artrosentezi uygulandı. Kan basıncı ve kalp hızı ameliyat öncesinde, lokal anestezi uygulaması sırasında, iğnenin eklem boşluğuna yerleştirilmesi sırasında, işlemin 5. ve 10. dakikalarında ve işlemin sonunda değerlendirildi.
Sonuçlar: Kalp hızı ve ortalama arter basıncı anestezi ve iğne girişi sırasında en yüksekti (P<0.05). Kalp hızı ve ortalama arter basıncı skorları tek iğne girişli artrosentez yapılan hasta grubunda istatistiksel olarak daha yüksekti.
Sonuç: Tek iğne girişi ile artrosentez yapılan hastalarda kan basıncı ve kalp hızı artabileceğinden daha dikkatli olmak gerekir.

Keywords

temporomandibular eklem, artrosentez, nabız, ortalama tansiyon

Ethical Statement

Bu çalışma Erzincan Binali Yıldırım Üniversitesi Tıp Fakültesi Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (2020/03-16)

Thanks

Yazarlar, bu çalışmanın planlanması ve yazılmasındaki katkılarından dolayı Dr. Fatih TAŞKESEN'e teşekkür eder

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