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HEMODYNAMIC FUNCTION IN COMPARISON OF TWO TYPES OF LOCAL ANESTHESIA WITH VASOCONSTRICTOR IN DAY SURGERY:
Tomica Bagatin1,2, Marin Škrtić3, Livija Šakić2,3,4
1Polyclinic Bagatin for maxillofacial, general and plastic surgery and anesthesiology, Zagreb.
Acta Clinica Croatica
|February 24, 2023
Summary
Local infiltration anesthesia with adrenaline can cause temporary hemodynamic changes in young patients undergoing day surgery. Bupivacaine-containing solutions may reduce these effects, emphasizing the need for preoperative evaluation.
Area of Science:
- Anesthesiology
- Cardiovascular Physiology
- Day Surgery
Background:
- Hemodynamic changes and cardiac arrhythmias are common in clinical practice.
- Local infiltration anesthesia (LIA) is frequently used in day surgery.
- Understanding anesthetic effects on hemodynamics is crucial for patient safety.
Purpose of the Study:
- To assess hemodynamic changes following local infiltration anesthesia in young patients undergoing day surgery.
- To compare the hemodynamic effects of lidocaine with adrenaline versus bupivacaine, lidocaine, and adrenaline.
- To evaluate the impact of LIA on blood pressure and heart rate.
Main Methods:
- Retrospective analysis of 92 patients undergoing septorhinoplasty or breast augmentation.
- Recorded blood pressure and heart rate before and at intervals after LIA.
- Compared hemodynamic data between groups receiving different anesthetic solutions.
Main Results:
- Septorhinoplasty patients (lidocaine with adrenaline) showed significantly higher systolic blood pressure than breast augmentation patients.
- Diastolic blood pressure increased at 20 minutes post-anesthesia.
- Septorhinoplasty group exhibited a significant heart rate increase 20 minutes after LIA with adrenaline.
Conclusions:
- Transitory hemodynamic changes post-LIA with vasoconstrictors are possible, potentially due to epinephrine.
- Bupivacaine solutions may mitigate hemodynamic disturbances and prolong analgesia.
- Preoperative evaluation, including anxiety assessment, is vital for day surgery patients.
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