Article Type
Article
Abstract
Context: Septoplasty is a common surgical procedure performed to correct the deviated nasal septum.
A clear surgical field is imperative for the success rate of the procedure. It can be achieved by improving the visualization of the sinonasal structures by optimizing good hemostasis.
Adrenaline local infiltration was commonly used despite its potential risks and complications; it is still controversial and referred to as surgeon preference. We aimed to study and evaluate the effect of diluted adrenaline injection in the submucoperichondrial plane in the nasal septum during nasal surgery in relation to hemodynamic parameters of the patient during the procedure.
Aims: We aimed to study and evaluate the effect of diluted adrenaline injection in the submucoperichondrial plane in the nasal septum during nasal surgery in relation to hemodynamic parameters of the patients during the procedure.
Patients and methods: This retrospective single‑center study included patients who underwent septoplasty under general anesthesia at Al‑Noor Specialist Hospital from 2014 till 2018.
Statistical analysis: Statistical analysis was performed using Statistical Package for Social Science software, version 21.0.
Results: This study included 223 patients who underwent septoplasty. Males were more prevalent than females (72.6 vs. 27.4%). The sample included 19.3% patients with diabetes, 17.5% were hypertensive, 3.6% had cardiac disease, 1.8% had hypothyroidism, and 2.2% had renal diseases. The mean ± SD of heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and oxygen saturation at baseline and after injection for 12 min was recorded, reflecting no significant changes regarding increasing in all parameters.
Conclusions: Injection of diluted adrenaline (1: 100 000 or 1: 200 000) during septoplasty in relation to hemodynamic parameters is safe, as there is no increase in heart rate, blood pressure, or mean arterial pressure after the infiltration in the submucoperichondrial plane regardless of the patients’ comorbidities.
Keywords: Adrenaline, diluted adrenaline, epinephrine, infiltration, septoplasty.
Recommended Citation
Alfattani NA, Hazzazi GS, Besharah BO,
et al.
Effect of using diluted adrenaline injection on hemodynamical parameters during septoplasty.
Pan Arab J. Rhinol.
2020;
10 : 100-104.
Available at:
https://pajr.researchcommons.org/journal/vol10/iss2/11
DOI: https://doi.org/10.4103/pajr.pajr_13_20
