Document Detail


Hemodynamic changes due to infiltration of the scalp with epinephrine-containing lidocaine solution: a hypotensive episode before craniotomy.
MedLine Citation:
PMID:  17198098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Epinephrine-containing lidocaine solution is commonly infiltrated on the scalp before craniotomy. But the hemodynamic changes caused by epinephrine-containing lidocaine solution have been less intensely studied. A prospective randomized double blind control study was designed to observe hemodynamic changes caused by epinephrine-containing lidocaine solution in neurosurgical operations under general anesthesia. One hundred twenty patients undergoing scheduled craniotomy were allocated randomly to 4 groups. All the patients received 1% lidocaine 16 mL with different dose (concentration) epinephrine: group 1 with 40 microg (2.5 microg/mL); group 2 with 80 microg (5 microg/mL); group 3 with 160 microg (10 microg/mL); and group 4 (control group) without epinephrine. mean arterial pressure (MAP) and heart rate were recorded at 30-second interval in 5 minutes after the beginning of local infiltration. In group 1, group 2, and group 3, the lowest MAP and the highest MAP during this period also were recorded. Bleeding was assessed after raising the craniotomy flap. Compared with the baseline, significant hemodynamic changes, particularly decrease in MAP with increase in heart rate at 1.5 minutes after the beginning of local infiltration, were observed in group 1, group 2, and group 3 (P<0.001), but not in group 4. The highest MAP increased significantly compared with the baseline in group 3 (P<0.05), but not in group 1 or group 2. Epinephrine-containing lidocaine solution reduced bleeding significantly (P<0.01). Infiltration with epinephrine-containing lidocaine solution elicits temporary but significant hemodynamic changes including hypotension before craniotomy. Commonly clinically used concentrations of epinephrine (2.5 to 10 microg/mL) can reduce the bleeding on the scalp.
Authors:
Jian-jun Yang; Hui-lin Cheng; Ruo-jing Shang; Jin-chun Shen; Ji-xin Shi; Han-dong Wang; Wei-yan Li; Jian-guo Xu
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of neurosurgical anesthesiology     Volume:  19     ISSN:  0898-4921     ISO Abbreviation:  J Neurosurg Anesthesiol     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-01     Completed Date:  2007-02-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8910749     Medline TA:  J Neurosurg Anesthesiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-7     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, PR China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, General
Anesthesia, Intravenous
Anesthesia, Local*
Anesthetics, Local / administration & dosage,  adverse effects*
Blood Pressure / drug effects*
Carbon Dioxide / blood
Craniotomy*
Electroencephalography / drug effects
Epinephrine / adverse effects
Female
Heart Rate / drug effects*
Hemorrhage / epidemiology
Humans
Hypotension / chemically induced*,  physiopathology
Lidocaine / administration & dosage,  adverse effects*
Male
Middle Aged
Prospective Studies
Vasoconstrictor Agents / adverse effects
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 0/Vasoconstrictor Agents; 124-38-9/Carbon Dioxide; 137-58-6/Lidocaine; 51-43-4/Epinephrine

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


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