How to prevent vasovagal syncope at dentist?

Dentists may be able to prevent vasovagal syncope by having a calming atmosphere in their office and by treating patients in a supine or semi-supine position especially when giving injections.

What is the most common emergency in a dental office?

Most frequent medical emergencies to occur in a dental office:

  • Acute asthma attack.
  • Angina/myocardial infarction.
  • Epileptic seizures.
  • Diabetic emergencies.
  • Allergies/hypersensitivity reactions.
  • Choking and aspiration.
  • Adrenal insufficiency.
  • Cardiac arrest.

What is the pathophysiology of syncope?

The pathophysiology of syncope is summarized as a reduction in systemic blood pressure that causes a decrease in the global cerebral blood flow, which results in loss of consciousness. A sudden cessation of cerebral blood flow for 6 to 8 seconds has been shown to cause loss of consciousness.

What is the major cause of syncope in the dental practice?

In the dental office, fear and anxiety are common causes of syncope. Neurally mediated syncope (NMS) is the most common form of fainting and a frequent reason for emergency department visits. It’s also called reflex, neurocardiogenic, vasovagal (VVS), or vasodepressor syncope.

What to do if someone passes out in dental chair?

When dealing with a patient who has fainted or seems like they are on the verge, the dentist or hygienist should lay the person in a flat position as much as possible and elevate the person’s legs slightly. Also loosen any tight closing. This increases blood supply to the brain supplying more oxygen.

What do you do if a patient faints in a dental chair?

What are the major causes of syncope?

Common causes of syncope include:

  • low blood pressure or dilated blood vessels.
  • irregular heart beat.
  • abrupt changes in posture, such as standing up too quickly, which can cause blood to pool in the feet or legs.
  • standing for long periods of time.
  • extreme pain or fear.
  • extreme stress.
  • pregnancy.
  • dehydration.