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KMID : 1155520080030030200
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Anesthesia and Pain Medicine
2008 Volume.3 No. 3 p.200 ~ p.204
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The Hemodynamic Effect of the Local Epinephrine Injection to a Burn Scar
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Kwak In-Suk
Park Jae-Young
Bae Ji-Young
Woo Chul-Ho
Kim Kwang-Min
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Abstract
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Background: As a method for reducing bleeding, epinephrine local infiltration is used in hypertrophic scar release. However, this can induce unexpected increased absorption and increase the cardiovascular risk. Therefore we evaluated the hemodynamic effects of epinephrine local infiltration.
Methods: Sixty patients underwent hypertropic scar release under general anesthesia. Thirty patients who do not have a history of hypertension were classified as group 1, and thirty patients who had a history of hypertension were classified as group 2. The heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were observed before injection of epinephrine and every minute up to six minutes after injection of epinephrine.
Results:
Conslusions: Local infiltration of epinephrine in hypertrophic scar temporarily increases the heart rate and blood pressure. Therefore, the patient with hypertension can have an increased the cardiovascular risk and this should be carefully considered.
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KEYWORD
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blood pressure, epinephrine, heart rate
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