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Acta clinica Croatica, Vol. 61. No. Supplement 2, 2022.

Original scientific paper

https://doi.org/10.20471/acc.2022.61.s2.04

Hemodynamic Function in Comparison of Two Types of Local Anesthesia with Vasoconstrictor in Day Surgery: Retrospective Study

Tomica Bagatin ; Polyclinic Bagatin for maxillofacial, general and plastic surgery and anesthesiology, Zagreb; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia
Marin Škrtić ; Croatian Catholic University, Zagreb
Livija Šakić ; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia; Croatian Catholic University, Zagreb; University Hospital Sveti Duh Zagreb
Dinko Bagatin ; Polyclinic Bagatin for maxillofacial, general and plastic surgery and anesthesiology, Zagreb; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia
Kata Šakić ; Polyclinic Bagatin for maxillofacial, general and plastic surgery and anesthesiology, Zagreb; Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia; Croatian Catholic University, Zagreb
Judith Deutsch ; Polyclinic Bagatin for maxillofacial, general and plastic surgery and anesthesiology, Zagreb
Ivan Šklebar ; Croatian Catholic University, Zagreb; University Hospital Sveti Duh Zagreb

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Abstract

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 infiltration anesthesia in day surgery.
Methods - We retrospectively assessed the hemodynamic effect of 2% lidocaine with 0,0125mg/ml
adrenaline (Li & AD) administered for septorhinoplasty in 44 participants 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 increase in 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
analgesia reduces 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.

Keywords

Local infiltration anesthesia; Cardiovascular changes; Septorhinoplasty; Breast augmentation

Hrčak ID:

284298

URI

https://hrcak.srce.hr/284298

Publication date:

1.9.2022.

Article data in other languages: croatian

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