Naslov
Haemodyinamic function in comparison of two types of local anesthesia with vasoconstrictor in day surgery:retrospective study

Autori
Bagatin, Tomica ; Škrtić, Marin ; Šakić, Livija ; Bagatin, Dinko ; Šakić, Kata ; Deutsch, Judith ; Šklebar, Ivan

Izvornik
Acta clinica Croatica. Supplement 2 (0353-9474) 61 (2022); 28-40

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
local infiltration anesthesia ; cardiovascular changes ; septorhinoplasty ; breast augmentation

Sažetak
Hemodynamic changes and cardiac arrhythmias are not uncommon in clinical practice, depending on including patient features, surgical treatment and drugs administered. We describe hemodynamic changes developed in young patients, soon after a local infiltrationanesthesia in day surgery. Methods We retrospectively assessed the hemodynamic effect of 2% lidocaine with 0, 0125mg/ml adrenaline (Li & AD) administered for septorhinoplasty in 44participants and combination of 0.5% bupivacaine and 2% lidocaine with 0.0125mg/ml adrenaline (BLi & AD) for breast augmentation in 48 participants. Blood pressure and heart rate were recorded before the introduction of general anesthesia, immediately 5.10 and 20 minutes after administration of local infiltration, anesthetic (LIA) and data were analyzed. Results The mean systolic blood pressure (SBP) in all observed measurements before general anesthesia (0), immediately, 5 minutes, 10 minutes and 20 minutes after local infiltration anesthesia was higher among patients who underwent septorinoplasty (Li & AD), in relation to patients who underwent breast augmentation (BLi & AD) (p <05). The level of diastolic blood pressure (DBP) in measurement 20 minutes compared to measurement in 10 minutes was increased by 9, 52 mmHg.The septorhinoplasty group showed a significant increasein heart rate measured 20 minutes after local infiltration anesthesia with adrenaline. Conclusions Measured transitory changes in heart rate and blood pressure after local infiltration of vasoconstrictor anesthetics in healthy patients prior to septorinoplasty and breast augmentation may be induced by endogenous and / or exogenous epinephrine. Bupivacaine solution for local infiltration analgesiareduces hemodynamic disturbances and prolongs analgesic effect.We highlight the need for careful preoperative evaluation, including anxiety assessment and treatment in all patients in day surgery.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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