Comparison of local infiltration of adrenalized lidocaine with adrenaline alone in operative field bleeding in Rhinoplasty

1Fertility and Infertility Research Center, Dept. of Anesthesiology and Critical Care, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Dept. of Anesthesiology and Critical Care, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

3Dept. of General surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 19, issue 2; e70704

Published online:May 29, 2015

Article type:Research Article

Received:Mar 09, 2015

Accepted:May 19, 2015

How to Cite:Mitra YariParisa GolfamShahram FazeliSanaz MansouriComparison of local infiltration of adrenalized lidocaine with adrenaline alone in operative field bleeding in Rhinoplasty.J Kermanshah Univ Med Sci.19(2):e70704.https://doi.org/10.22110/jkums.v19i2.2389.

Abstract

Background: In many head and neck surgeries, operative field bleeding plays an important role in the success of surgery and reducing the time of operation. The current study was conducted to compare local infiltration of adrenalized lidocaine with adrenaline alone in operative field bleeding in Rhinoplasty.

Methods: In this randomized clinical trial, 56 candidate patients aged15-45 years for Rhinoplasty with ASA class I and II were randomly divided into two groups of lidocaine and control. Group 1 was administered lidocaine 2% with adrenaline and group 2 was administered normal saline with adrenaline , Operative field bleeding was then recorded and compared between groups.

Results: There was not a significant difference between groups in preoperative systolic BP and diastolic BP, postoperative (15 min) systolic BP and diastolic BP , preoperative heart rate and postoperative (15 min)heart rate , operative field bleeding and bleeding scale.

Conclusion: the effect of lidocaine 2% in operative field bleeding is the same as that of normal saline. Hence, adrenaline along with normal saline can be used in Rhinoplasty.

Keywords

Rhinoplasty

adrenalin

lidocaine

operative field bleeding

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Author(s):

Mitra Yari:[PubMed][Scholar]
Parisa Golfam:[PubMed][Scholar]
Shahram Fazeli:[PubMed][Scholar]
Sanaz Mansouri:[PubMed][Scholar]