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.
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.
operative field bleeding
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