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

Author(s):
Mitra YariMitra Yari1, Parisa GolfamParisa Golfam2, Shahram FazeliShahram Fazeli3, Sanaz MansouriSanaz Mansouri2,*
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
*Corresponding Author: Corresponding author: Sanaz Mansouri, Dept. of Anesthesiology and Critical Care, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran, Tel: +989143541577 Email: [email protected]

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:Yari M, Golfam P, Fazeli S, Mansouri S. Comparison of local infiltration of adrenalized lidocaine with adrenaline alone in operative field bleeding in Rhinoplasty. J Kermanshah Univ Med Sci. 2015;19(2):e70704. doi: 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.

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© 2015, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.

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