Document Detail

Current practices of cocaine administration by UK otorhinolaryngologists.
MedLine Citation:
PMID:  12625882     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to determine which anaesthetic and vasoconstrictor preparations UK Otorhinolaryngologists use for rhinological surgery, with particular reference to cocaine and adrenaline. The incidence and types of adverse reactions to cocaine were also recorded. A postal survey of all BAO-HNS consultant members was performed. Of the 360 consultant surgeons included in the survey, the majority still use peri-operative cocaine on a regular basis, 66 per cent use cocaine and adrenaline together and more than 40 per cent use cocaine in paediatric patients. Sixteen per cent of respondents did not use cocaine. Only 11 per cent of surgeons had experienced cocaine toxicity in their patients, with only one recorded case of mortality. Most surgeons in the UK use cocaine because of the superior operative field it provides and because they consider it to be safe even with adrenaline. The actual incidence of adverse reactions to cocaine is low, with serious complications being less common than the risks from general anaesthesia. Cocaine remains a valuable agent in the armamentarium of the rhinologist.
R De; H S Uppal; Z P Shehab; A W Hilger; P S Wilson; R Courteney-Harris
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  117     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-10     Completed Date:  2003-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  109-12     Citation Subset:  AIM; IM    
Department of Otolaryngology, University Hospital, Birmingham, UK.
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MeSH Terms
Anesthetics, Local / administration & dosage*,  adverse effects
Attitude of Health Personnel
Cocaine / administration & dosage*,  adverse effects
Epinephrine / administration & dosage,  adverse effects
Great Britain
Nose / surgery*
Otorhinolaryngologic Surgical Procedures / methods,  statistics & numerical data
Physician's Practice Patterns / statistics & numerical data*
Retrospective Studies
Rhinoplasty / methods,  statistics & numerical data
Reg. No./Substance:
0/Anesthetics, Local; 50-36-2/Cocaine; 51-43-4/Epinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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