A SURVEY OF THE DIFFERENT CONCENTRATIONS OF EPINEPHRINE ON THE VOLUME OF BLOOD LOSS IN SEPTORHINOPLASTY UNDER HALOTHANE ANESTHESIA

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RAHIMI M.; AMIRI DAVAN M.; GOLI M.; HEYDARI M.; SONBOLESTAN M.

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Paper Information

Journal: IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY Year:2005 | Volume:17 | Issue:2 (40) Page(s): 101-106

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Title

A SURVEY OF THE DIFFERENT CONCENTRATIONS OF EPINEPHRINE ON THE VOLUME OF BLOOD LOSS IN SEPTORHINOPLASTY UNDER HALOTHANE ANESTHESIA

Author(s)

Keywords

EPINEPHRINEQ2

HALOTHANEQ3

ANESTHESIAQ3

SEPTORHINOPLASTYQ2

BLOOD LOSSQ2

Abstract

Background: EPINEPHRINE usage in septoplasty and SEPTORHINOPLASTY has less hemorrhage during operation and BLOOD LOSS field as a rule. But under general ANESTHESIA with HALOTHANE usage of solutions, EPINEPHRINE will be with some risk. The question is which concentrations of EPINEPHRINE will be more efficacious and have less complication.Methods: This study was arranged as a clinical trial on 80 patients equally divided in four groups. In group 1 we used solution of EPINEPHRINE 1/10000 with Lidocaine 1%. 100000 In group 2, solution of EPINEPHRINE 1/100000 with normal saline was used. In group 3 we used solution of EPINEPHRINE 1/200000 with Lidocaine 1% and at last, solution of 200000 EPINEPHRINE 1/200000 with normal saline was used in the 4th group. Each of the groups included 20 patients who underwent septoplasty or SEPTORHINOPLASTY under general ANESTHESIA with HALOTHANE. We monitored changes of systolic and diastolic blood pressures, pulse rates, volume of BLOOD LOSS and any finding about dangerous dysrrhythmias such as ventricular arrhythmia. Results: The mean percent of changes for systolic blood pressure was measured 8.46±4.59, this percent for diastolic blood pressure was measured as 10.55±5.89, and for pulse rates the mean percent of changes evaluated 7.85±4.61. In all of the groups, these percents were evaluated as less than 15% that were clinically acceptable. The mean volume of BLOOD LOSS was evaluated as 73.13±30.02 milliliters. The differences were not statistically significant among the four groups. In the group 1, one case experienced an episode of ventricular tachycardia and in the second group one patient had ventricular tachycardia. Another patient showed an episode of ventricular fibrillation. Conclusion: Despite no statistically significant differences between groups using solutions of EPINEPHRINE 1/100000 and solutions of EPINEPHRINE 1/200000 about mean percents of changes in systolic and diastolic blood pressures, pulse rates and volume of BLOOD LOSSes, the higher concentrations of EPINEPHRINE 1/100000 raised the risk of dangerous ventricular arrhythmias, so this concentration is not recommended.

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APA: Copy

RAHIMI, M., AMIRI DAVAN, M., GOLI, M., HEYDARI, M., & SONBOLESTAN, M.. (2005). A SURVEY OF THE DIFFERENT CONCENTRATIONS OF EPINEPHRINE ON THE VOLUME OF BLOOD LOSS IN SEPTORHINOPLASTY UNDER HALOTHANE ANESTHESIA. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY, 17(2 (40)), 101-106. SID. https://sid.ir/paper/49448/en

Vancouver: Copy

RAHIMI M., AMIRI DAVAN M., GOLI M., HEYDARI M., SONBOLESTAN M.. A SURVEY OF THE DIFFERENT CONCENTRATIONS OF EPINEPHRINE ON THE VOLUME OF BLOOD LOSS IN SEPTORHINOPLASTY UNDER HALOTHANE ANESTHESIA. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY[Internet]. 2005;17(2 (40)):101-106. Available from: https://sid.ir/paper/49448/en

IEEE: Copy

M. RAHIMI, M. AMIRI DAVAN, M. GOLI, M. HEYDARI, and M. SONBOLESTAN, “A SURVEY OF THE DIFFERENT CONCENTRATIONS OF EPINEPHRINE ON THE VOLUME OF BLOOD LOSS IN SEPTORHINOPLASTY UNDER HALOTHANE ANESTHESIA,” IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY, vol. 17, no. 2 (40), pp. 101–106, 2005, [Online]. Available: https://sid.ir/paper/49448/en

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