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Record W4404601405 · doi:10.21037/fomm-24-28

Local anaesthetic-induced seizures: a review

2024· review· en· W4404601405 on OpenAlexaff
Shawn A. Zahavi, Yosef Ouanounou, Peter L. Carlen, Aviv Ouanounou

Bibliographic record

VenueFrontiers of Oral and Maxillofacial Medicine · 2024
Typereview
Languageen
FieldMedicine
TopicEpilepsy research and treatment
Canadian institutionsKrembil FoundationUniversity of TorontoMcGill University
Fundersnot available
KeywordsLocal anaestheticMedicineAnesthesiaNeurosciencePsychology

Abstract

fetched live from OpenAlex

Abstract: Local anaesthetics are indispensable drugs in both medical and dental practices, facilitating treatment through pain-free procedures by blocking nerve impulse transmission. Similar to any drug, despite their efficacy, local anaesthetics carry the risk of adverse events. There are many adverse events that can result from local anaesthetic administration. Among the most serious adverse events is the development of seizures, which has been well-documented in the literature. This review aims to explore the association between local anaesthetic administration and seizure development, along with the biological plausibility underlying this phenomenon. Epidemiological evidence highlights cases of seizures following local anaesthetic use, occurring across various medical and dental settings, demonstrating the relevance of this topic to current healthcare practice. To ensure patient safety, it is essential for healthcare practitioners to remain knowledgeable in both the prevention and management of this occurrence. The best form of management for any adverse event in healthcare is to prevent its occurrence in the first place. Prevention strategies should focus on minimizing risk factors that can result in seizures, including careful aspiration practices, and reducing the amount of local anaesthetic administered. The basic management of seizures entails prompt recognition and treatment, removal of dangerous objects, and monitoring of respiratory function.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.864
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0040.001
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.067
GPT teacher head0.388
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

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