Optimizing Intraoperative Vital Signs Surveillance in Patients Receiving Local Anesthesia
Keywords:
Local anesthesia, Monitoring vital sign, adverse reaction of local anesthesiaAbstract
Monitoring vital signs for monitor adverse reaction during local anesthesia was alert in all patients, whereas each patient has a difference risk of adverse event. Over-frequency monitoring of vital signs, especially blood pressure, such as every 5 minutes continuously throughout surgery can cause discomfort to the patients. Squeezed by the blood pressure measuring device can cause redness, pressure sores, or injury to the skin. Therefore, appropriately monitoring patient vital signs based on individual risk factors will help ensure patient safety, reduce preventable complications, and improve patient comfort and satisfaction during surgery.
References
John RR. Local Anesthesia in Oral and Maxillofacial Surgery. In: Bonanthaya K, Panneerselvam E, Manuel S, Kumar VV, Rai A, editors. Oral and Maxillofacial Surgery for the Clinician. Singapore: Springer Nature Singapore; 2021. p. 61-77.
Jung J, Kim DH, Son J, Lee SK, Son BS. Comparative study between local anesthesia and general anesthesia in the treatment of primary spontaneous pneumothorax. Ann Transl Med. 2019;7(20):553.
El-Boghdadly K, Pawa A, Chin KJ. Local anesthetic systemic toxicity: Current perspectives. Local Reg Anesth. 2018;11:35-44.
Long B, Chavez S, Gottlieb M, Montrief T, Brady WJ. Local anesthetic systemic toxicity: A narrative review for emergency clinicians. Am J Emerg Med. 2022;59:42-8.
Šimurina T, Mraović B, Župčić M, Graf Župčić S, Vulin M. Local anesthetics and sterroids: Contraindications and complications – Clinical update. Acta Clin Croat. 2019;58(Suppl 1):53-61.
Zuo J, Gong R, Lui X, Zhao J. Risk of true allergy to local anesthetics: 10-Year experience from an anesthesia allergy clinic in china. Ther Clin Risk Manag. 2020;16:1297-303.
Nunes Silva M, Ferro A, Fragata I. Lidocaine-induced central nervous system toxicity during implantable cardioverter defibrillator placement - A case report and literature review. Rev Port Cardiol. 2023;42(5):483.e1-.e4.
Cherobin A, Tavares GT. Safety of local anesthetics. An Bras Dermatol. 2020;95(1):82-90.
Abasova DN, Petyushina AN, Ismonov TA, Osipenko KA, Babaeva AM, Khasavova MA, et al. Blood pressure and anaesthetic use in dentistry: safety and recommendations. Revista Latinoamericana de Hipertension. 2024;19(9):393-400.
Decloux D, Ouanounou A. Local anaesthesia in dentistry: A review. Int Dent J. 2020;71(2):87-95.
Macfarlane AJR, Gitman M, Bornstein KJ, El-Boghdadly K, Weinberg G. Updates in our understanding of local anaesthetic systemic toxicity: A narrative review. Anaesthesia. 2021;76 Suppl 1:27-39.
AORN. Guideline Quick View: Local Anesthesia. AORN J. 2020;112(6):721-4.
ฝ่ายการพยาบาล โรงพยาบาลศิริราช. วิธีปฏิบัติงานเรื่อง : การเฝ้าระวังผู้ป่วยขณะเข้ารับการผ่าตัดและได้รับยาชาเฉพาะที่ รหัสเอกสาร :NS-04-3-018-03
Croke L. Guideline for care of the patient receiving local-only anesthesia. AORN J. 2020;112(4):8-9.
Tareerath M, Wongyingsinn M. Comparison of the incidences of cuff-related trauma after non-invasive arterial blood pressure measurement with and without padding in patients undergoing elective surgery. J Med Assoc Thai. 2018;101:S1-S7.
Elmatite W, Mangla C, Upadhyay S, Yarmush J. Perioperative Automated Noninvasive Blood Pressure- (NIBP-) Related Peripheral Nerve Injuries: An Anesthetist's Dilemma-A Case Report and Review of the Literature. Case Rep Anesthesiol. 2020;2020:5653481.
HF Acquisition Co LLC, DBA HealthFirst . lidocaine hcl and epinephrine injection, solution. Revised : 2/2024 [Internet]. [cited 2025 Feb 12]. Available from: https://dailymed.nlm.nih.gov/dailymed/fda/ fdaDrugXsl.cfm?setid=a098ab6c-143f-77a5-e053-2a95a90a3e0a
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 THE THAI JOURNAL OF TRAUMA
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The primary requirement for distribution is proper attribution for both the original author and The Thai Journal of Trauma. Authors submitting manuscripts to The Thai Journal of Trauma must transfer copyright to the journal, with any reproduction—partial or complete—contingent upon written authorization from the journal's editorial team. While authors retain full responsibility for their article's substantive content, the journal assumes liability only for printing-related errors. The Thai Journal of Trauma publishes articles under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 (CC-BY-NC-ND) license, which grants permission for redistributing the work, but are prohibited from modifying the original content or using it for commercial purposes.
