Hostname: page-component-745bb68f8f-5r2nc Total loading time: 0 Render date: 2025-02-06T15:49:38.836Z Has data issue: false hasContentIssue false
  • English
  • Français

Prospective study of the use of vasoconstrictor and saline in septal surgery for infiltration

Published online by Cambridge University Press:  29 June 2007

I Vanniasegaram
I Vanniasegaram*
Affiliation:
(Hull)
*
I. Vanniasegaram, F.R.C.S.Ed., MaxRayne House, 109 Camden Road, London NW1 9HA.
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Vasoconstrictor agents are often used to reduce bleeding and hence improvethe operative field in surgery. These agents are potentially dangerous. A trial was undertaken to compare the use of adrenaline 1:80,000 with saline alone as an infiltrating agent in 30 consecutive patients undergoing septoplasty under general anaesthesia. This study, based on a small number of patients can draw no firm conclusions. There are no really dramatic differences between 1:80,000 adrenaline and saline, in terms of blood loss, operative time and the condition of the operative field between the two groups. However, there is a possibility that there are substantial differences, which, because of the variability of these outcomes, could not be detected in a study as small as this. It is recommended that a randomized trial involving patients is used to answer the question.

Keywords

Nasal septum
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 8 , August 1991 , pp. 638 - 639
Copyright
Copyright © JLO (1984) Limited 1991

References

Johnston, M., Nisbet, H. I. A. (1961) Ventricular arrhythmias during halothane anaesthesia. British Journal of Anaesthesia, 33: 9–16.CrossRefGoogle Scholar
Klingenstrom, P., Nylen, B., Westermark, L. (1967) A clinical comparison between adrenaline and octapressin as vasoconstrictors in local anaesthesia. Acta Anaesthesia Scandinavia, 11: 35–42.CrossRefGoogle Scholar
McClymont, L. G., Crowther, J. A. (1988) Local anaesthesia with vasconstrictor combinations in septal surgery. Journal of Laryngology, and Otology, 102: 793–795.CrossRefGoogle Scholar
Millar, R. A., Gilbert, R. G. B., Brindle, G. F. (1958) Ventricular tachycardias during halothane anaesthesia. Anaesthesia,13: 164–172.CrossRefGoogle Scholar
Munchow, O. B., Kurze, T. (1966) Hemostatic effectivenessof infiltration with felypressin prior to skin incisions. Journal of the American Medical Association, 196(7): 625–626.CrossRefGoogle Scholar
Pfleiderer, A. G., Brockbank, M. (1988) Cocaine and adrenaline: a safe or necessary combination in the nose? A study to determine the effect of adrenaline on the absorption and adverse side effects of cocaine. Clinical Otolarygnology, 13: 421–426.CrossRefGoogle ScholarPubMed