Evidence map›Paper›PMID 38575579›Full record

ArticleBDJ open2024

Knowledge and attitudes toward anaphylaxis to local anesthetics in dental practice.

Ivan Cherrez-Ojeda, Juan C Gallardo-Bastidas, Gabriela Rouillon Borrero, Hans Mautong, Paola Andrea Mena Silva, Zouina Sarfraz, Azza Sarfraz, Leonardo Cano, Karla Robles-Velasco

Open access · goldAbstract read
In one paragraph

Article in BDJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Ivan Cherrez-OjedaUniversidad Espíritu Santo, Samborondón, 0901952, Ecuador. ivancherrez@gmail.com.ORCID http://orcid.org/0000-0002-1610-239X
Juan C Gallardo-BastidasUniversidad Católica de Santiago de Guayaquil Carrera de Odontología, Guayaquil, 09-01-4671, Ecuador.
Gabriela Rouillon BorreroUniversidad Espíritu Santo, Samborondón, 0901952, Ecuador.
Hans MautongUniversidad Espíritu Santo, Samborondón, 0901952, Ecuador.
Paola Andrea Mena SilvaUniversidad Regional Autónoma de Los Andes UNIANDES, Ambato, 180215, Ecuador.
Zouina SarfrazDepartment of Research and Publications, Fatima Jinnah Medical University, Lahore, PB, Pakistan.
Azza SarfrazDepartment of Pediatrics and Child Health, Aga Khan University, Stadium Road, P.O Box 3500, Karachi, 74800, Pakistan.
Leonardo CanoRespiralab, Respiralab Research Group, Guayaquil, Ecuador.
Karla Robles-VelascoUniversidad Espíritu Santo, Samborondón, 0901952, Ecuador.
Universidad de Especialidades Espíritu Santo · ECAga Khan University · PKFatima Jinnah Medical University · PKUniversidad Católica de Santiago de Guayaquil · ECUniversidad Regional Autónoma de Los Andes · ECUniversity of Guayaquil · EC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVE/

aimThe absence of a comprehensive understanding of potential anaphylactic reactions to local anesthetics (LAs) and management can result in grave consequences. For this reason we aim to assess Latin American dentists' knowledge, preparedness, and competency in managing anaphylactic reactions to LAs. MATERIALS AND

methodsDesign: A cross-sectional study was conducted from November 2021 to February 2022. Board-certified dentists answered a survey comprising 26 structured questions. Chi-square tests and logistic regression models were performed in Stata 17.0.

settingArgentina, Brazil, Colombia, Costa Rica, Ecuador, Honduras, Mexico, Peru, Venezuela, and other Latin American countries.

resultsOf 507 respondents, lidocaine was the most frequently used LA (88.1%). While 85.2% could identify dyspnea as a symptom of anaphylaxis, only 50.1% knew the correct route for epinephrine administration, and just 43.5% had epinephrine in their emergency kits. Confidence in managing anaphylactic reactions was low (9.6%). Older age was inversely related to both knowledge of anaphylaxis management and the possession of epinephrine (P = 0.003 and P = 0.0001, respectively). DISCUSSION: Our study highlights a concerning discrepancy between the practical readiness of Latin American dentists in handling anaphylaxis.

conclusionThe study's findings underscore the need for educational interventions to improve the readiness to identify and handle anaphylactic emergencies in dental practice.

Identifiers

PMID38575579
PMCPMC10994913
OpenAlexW4393952335

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.