The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease
The use of local anesthesia with lidocaine containing epinephrine in patients with cardiac disease is controversial in the literature. The aim of our study was determining the safety of use the local anesthesia contain epinephrine in patients with ischemic heart disease that undergoing reconstructiv...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2013-08-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/4396 |
| _version_ | 1819027591517962240 |
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| author | Mehdi Sanatkar Mostafa Sadeghi Nafiseh Esmaeili Mohammad Hassan Naseri Hossein Sadrossadat Mehrdad Shoroughi Hamid Reza Fathi Shahrokh Ghazizadeh |
| author_facet | Mehdi Sanatkar Mostafa Sadeghi Nafiseh Esmaeili Mohammad Hassan Naseri Hossein Sadrossadat Mehrdad Shoroughi Hamid Reza Fathi Shahrokh Ghazizadeh |
| author_sort | Mehdi Sanatkar |
| collection | DOAJ |
| description | The use of local anesthesia with lidocaine containing epinephrine in patients with cardiac disease is controversial in the literature. The aim of our study was determining the safety of use the local anesthesia contain epinephrine in patients with ischemic heart disease that undergoing reconstructive surgery. Thirty two patients that had known ischemic heart disease and candidate to undergo reconstructive surgery for skin tumor enrolled in this study. All patients continued their medication for cardiac disease till morning of the operation. 10 ml lidocaine 2% containing 1:100,000 epinephrine was injected in patients for local anesthesia. The hemodynamic changes and electrocardiographic variables before injection were compared with them after injection, during surgery and till 6 hours postoperation period. A 12 lead electrocardiogram was recorded in all our cases for detection of myocardial ischemic changes. The mean age, weight and height were 58.2±10.4, 74.8.±14.4 kg and 164.5± 8 cm respectively. Twelve patients (37.5%) were diagnosed with systemic hypertension and 10 patients with diabetes (31.2%). The comparison of change of systolic, diastolic and mean blood pressure between baseline, during procedure and after operation defined that our subjects did not have any significant disturbance in blood pressure in perioperative period. The comparison of baseline heart rate with heart rate after injection, during procedure and in postoperation period indicated a significant changes in this variable (P=0.044). The heart rhythm during the perioperative period also failed to exhibit alterations. The ischemic change was not recorded in our patients before injection compared to after injection. None of our patients have any early complications because of infiltration of local anesthetic containing epinephrine in our patients. The use of 10 ml 2% lidocaine with epinephrine 1:100,000 in patients with cardiac disease represent a safe anesthetic procedure. These patients experienced a more profound anesthesia with hemodynamic stability and without myocardial ischemic changes. |
| first_indexed | 2024-12-21T05:44:54Z |
| format | Article |
| id | doaj.art-6283c4908b5543f0ab41b9fccc2ed5b4 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-12-21T05:44:54Z |
| publishDate | 2013-08-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-6283c4908b5543f0ab41b9fccc2ed5b42022-12-21T19:14:09ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942013-08-015184349The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart DiseaseMehdi Sanatkar0Mostafa Sadeghi1Nafiseh Esmaeili2Mohammad Hassan Naseri3Hossein Sadrossadat4Mehrdad Shoroughi5Hamid Reza Fathi6Shahrokh Ghazizadeh7Department of Anesthesiology, Razi Hospital, AND Department of Anesthesiology, Farabi Hospital, Tehran University of Medical Sciences,Tehran, Iran. AND Department of Anesthesiology, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Autoimmune Bullous Disease Research Center, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Cardiac Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Anesthesiology, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Plastic Surgery, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Plastic Surgery, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.The use of local anesthesia with lidocaine containing epinephrine in patients with cardiac disease is controversial in the literature. The aim of our study was determining the safety of use the local anesthesia contain epinephrine in patients with ischemic heart disease that undergoing reconstructive surgery. Thirty two patients that had known ischemic heart disease and candidate to undergo reconstructive surgery for skin tumor enrolled in this study. All patients continued their medication for cardiac disease till morning of the operation. 10 ml lidocaine 2% containing 1:100,000 epinephrine was injected in patients for local anesthesia. The hemodynamic changes and electrocardiographic variables before injection were compared with them after injection, during surgery and till 6 hours postoperation period. A 12 lead electrocardiogram was recorded in all our cases for detection of myocardial ischemic changes. The mean age, weight and height were 58.2±10.4, 74.8.±14.4 kg and 164.5± 8 cm respectively. Twelve patients (37.5%) were diagnosed with systemic hypertension and 10 patients with diabetes (31.2%). The comparison of change of systolic, diastolic and mean blood pressure between baseline, during procedure and after operation defined that our subjects did not have any significant disturbance in blood pressure in perioperative period. The comparison of baseline heart rate with heart rate after injection, during procedure and in postoperation period indicated a significant changes in this variable (P=0.044). The heart rhythm during the perioperative period also failed to exhibit alterations. The ischemic change was not recorded in our patients before injection compared to after injection. None of our patients have any early complications because of infiltration of local anesthetic containing epinephrine in our patients. The use of 10 ml 2% lidocaine with epinephrine 1:100,000 in patients with cardiac disease represent a safe anesthetic procedure. These patients experienced a more profound anesthesia with hemodynamic stability and without myocardial ischemic changes.https://acta.tums.ac.ir/index.php/acta/article/view/4396AnesthesiaEpinephrineIschemic heart diseaseLidocaine |
| spellingShingle | Mehdi Sanatkar Mostafa Sadeghi Nafiseh Esmaeili Mohammad Hassan Naseri Hossein Sadrossadat Mehrdad Shoroughi Hamid Reza Fathi Shahrokh Ghazizadeh The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease Acta Medica Iranica Anesthesia Epinephrine Ischemic heart disease Lidocaine |
| title | The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease |
| title_full | The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease |
| title_fullStr | The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease |
| title_full_unstemmed | The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease |
| title_short | The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease |
| title_sort | evaluation of perioperative safety of local anesthesia with lidocaine containing epinephrine in patients with ischemic heart disease |
| topic | Anesthesia Epinephrine Ischemic heart disease Lidocaine |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/4396 |
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