Effect of intraoperative injection of 0.25% bupivacaine with 1:200,000 epinephrine on intraoperative blood loss in FESS

American Journal of Rhinology and Allergy

Volumn 23, Issue 4, 2009, Pages 437-441

  Javer, Amin R ^a   Gheriani, Heitham ^a   Mechor, Brad ^a   Flamer, David ^a   Genoway, Krista ^a   Yunker, Warren K ^a  

^a St Paul's Sinus Center   (Canada)

Author keywords

Blood loss; Epinephrine; FESS; Functional endoscopic sinus surgery; Hemostasis; Infiltration; Injection; MABP; Normal saline

Indexed keywords

ADRENALIN; BUPIVACAINE; PLACEBO; SODIUM CHLORIDE;

ADOLESCENT; ADULT; AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMOGRAPHY; DOUBLE BLIND PROCEDURE; ENDOSCOPIC SURGERY; FEMALE; FUNCTIONAL ENDOSCOPIC SINUS SURGERY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; OPERATION DURATION; POSTOPERATIVE HEMORRHAGE; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; RANDOMIZED CONTROLLED TRIAL;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANESTHETICS, LOCAL; BLOOD LOSS, SURGICAL; BUPIVACAINE; CHRONIC DISEASE; DOSE-RESPONSE RELATIONSHIP, DRUG; DOUBLE-BLIND METHOD; DRUG THERAPY, COMBINATION; ENDOSCOPY; EPINEPHRINE; FEMALE; FOLLOW-UP STUDIES; HEMOSTATIC TECHNIQUES; HUMANS; INJECTIONS; INTRAOPERATIVE CARE; MALE; MIDDLE AGED; NOSE; OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES; PROSPECTIVE STUDIES; RHINITIS; SINUSITIS; TREATMENT OUTCOME; VASOCONSTRICTOR AGENTS; YOUNG ADULT;

EID: 70349243690     PISSN: 19458924     EISSN: 19458932     Source Type: Journal    
DOI: 10.2500/ajra.2009.23.3339     Document Type: Article

References (21)

1. Cincikas D, and Ivaskevicius J. Application of controlled arterial hypotension in endoscopic rhinosurgery. Medicina 39:852-859, 2003.
2. Yang JJ, Li WY, Jil Q, et al. Local anesthesia for functional endoscopic sinus surgery employing small volumes of epinephrine-containing solutions of lidocaine produces profound hypotension. Acta Anaesthesiol Scand 49:1471-1476, 2005.
3. Wormald PJ, van Renen G, Perks J, et al. The effect of the total intravenous anesthesia compared with inhalational anesthesia on the surgical field during endoscopic sinus surgery. Am J Rhinol 19:514-520, 2005.
4. Gessler E, Hart K, Dunlevy T, and Greinwald J. Optimal concentration of epinephrine for vasoconstriction in ear surgery. Laryngoscope 111:1687-1690, 2001.
5. O'Malley TP, Postma GN, Holtel M, et al. Effect of local epinephrine on cutaneous blood flow in the human neck. Laryngoscope 105:140-143, 1995.
6. Dunlevy TM, O'Malley TP, and Postma GN. Optimal concentration of epinephrine for vasoconstriction in neck surgery. Laryngoscope 106:1412-1414, 1996.
7. Temple RH, and Timms MS. Blood loss reduction during laser turbinectomy. Rhinology 39:230-232, 2001.
8. Vanniasegaram I. Prospective study of the use of vasoconstrictor and saline in septal surgery for infiltration. J Laryngol Otol 105:638-639, 1991.
9. Wormald PJ, Athanasiadis T, Rees G, and Robinson S. An evaluation of effect of pterygopalatine fossa injection with local anesthetic and adrenalin in the control of nasal bleeding during endoscopic sinus surgery. Am J Rhinol 19:288-292, 2005.
10. Yang JJ, Yang QP, Wang TY, et al. Marked hypotension induced by adrenaline contained in local anesthetic. Laryngoscope 115:348-352, 2005.
11. Wang SH, Wang HW, and Wang JY. Effects of cocaine on human nasal mucosa. Eur Arch Otorhinolaryngol 250:245-248, 1993.
12. Anderhuber W, Walch C, Nemeth E, et al. Plasma adrenaline concentrations during functional endoscopic sinus surgery. Laryngoscope 109:204-207, 1999.
13. Zhao F, Wang Z, Yang SJ, et al. Low-dosage adrenaline induces transient marked decrease of blood pressure during functional endoscopic sinus surgery. Am J Rhinol 20:182-185, 2006.
14. Nair S, Collins M, Hung P, et al. The effect of B-blocker premedication on the surgical field during endoscopic sinus surgery. Laryngoscope 114:1042-1046, 2004.
15. Sieskiewicz A, Olszewska E, Rogowski M, and Grycz E. Preoperative corticosteroid oral therapy and intraoperative bleeding furing functional endoscopic sinus surgery in patients with severe nasal polyposis: A preliminary investigation. Ann Otol Rhinol Laryngol 115:490-494, 2006.
16. Shi JB, Yang QT, Wen WP, and Xu G. Study of bleeding during surgery for chronic sinusitis and nasal polyp influenced by preoperative treatment. Zhonghua Er Bi Yan Hou Ke Za Zhi 38:202-205, 2003.
17. Jacobi K, Bohm B, Rickauer A, et al. Moderate controlled hypotension with sodium nitroprusside does not improve surgical conditions or decrease blood loss in endoscopic sinus surgery. J Clin Anesth 12:202-207, 2000.
18. Schindler I, Andel H, Leber J, and Kimla T. Moderate induced hypotension provides satisfactory operating conditions in maxillofacial surgery. Acta Anaesthesiol Scand 38:384-287, 1994.
19. Fromme GA, MacKenzie RA, Gould AB Jr, et al. Controlled hypotension for orthognathic surgery. Anesth Analg 65:683-686, 1986.
20. Eltringham RJ, Young PN, Fairbairn ML, and Robinson JM. Hypotensive anaesthesia for microsurgery of the middle ear. A comparison between enflurane and halothane. Anaesthesia 37:1028-1032, 1982.
21. Eberhart LH, Folz BJ, Wulf H, and Geldner G. Intravenous anesthesia provides optimal surgical conditions during microscopic and endoscopic sinus surgery. Laryngoscope 113: 1369-1373, 2003.