Hemodynamic Effects of Topical Adrenaline During Septoplasty

被引：7

作者：

Günel C. ^{[1
,3
]}

Sarı S. ^{[2
]}

Eryılmaz A. ^{[1
]}

Başal Y. ^{[1
]}

机构：

[1] Department of Otorhinolaryngology-Head and Neck Surgery, Adnan Menderes University Medical Faculty, Aydın

[2] Department of Anesthesiology, Adnan Menderes University Medical Faculty, Aydın

[3] Adnan Menderes Üniversitesi KBB AD, Aytepe Mevkii, Aydın

来源：

Indian Journal of Otolaryngology and Head & Neck Surgery | 2016年 / 68卷 / 4期

关键词：

Adrenaline; Epinephrine; Lignocaine; Septoplasty; Vasoconstrictor agents;

D O I：

10.1007/s12070-014-0757-8

中图分类号：

学科分类号：

摘要：

Vasoconstrictors agents is used in septal surgery, in attempt to improve haemostasis and thereby improve the surgical field. We aimed to compare the effect of lignocaine with adrenaline injection and alone lignocaine injection with topical adrenalin on perioperative hemodynamic effect, hemorrhage and postoperative pain. Patients undergoing surgery were randomised into two groups: group I in whom infiltration was performed with lignocaine (2 %) with adrenaline (1:100,000), group II in whom infiltration was performed with lignocaine (2 %) injection with topical adrenalin application (1:10,000). The two groups were matched by age, sex, body weight, pre-anesthesia blood pressure, heart rate, oxygen pressure and hemorrhage. The hemostatic effects postoperative pain in each group were analyzed. No statistically significant differences in operation time, hemodynamic effect, and intraoperative blood loss were reached between the two groups of patients (p > 0.05). But also group I had significantly better pain scores versus control group in the 2nd, 4th, 6th postoperative hours (p < 0.05). We suggest that the use of adrenaline infiltration during septal surgery is unnecessary and may subject the patient to the risk of cardiogenic side-effects of systemic absorption. © 2014, Association of Otolaryngologists of India.

引用

页码：391 / 395

页数：4

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