Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
DOI:
https://doi.org/10.22491/2357-9730.125220Keywords:
Rhinoplasty, local anesthetics, hemodynamic effects, sedationAbstract
OBJECTIVE: To determine the extension of hemodynamic changes in patients submitted to rhinoplasty under local anesthesia.
MATERIALS AND METHODS: One hundred consecutive patients were investigated. They were operated between September 1988 and February 1989 at Clinica Planas,
Barcelona, Spain. The evaluation included continuous monitoring of patients’ heart rate, arterial pressure, oxygen saturation, cardiac rhythm, and consciousness level throughout the procedure.
RESULTS: The curve of arterial pressure variation was in accordance with the adrenaline peak, when injected subcutaneously (slower). This underscores the
importance of waiting at least 20 minutes before starting the procedure, in order to have the best vasoconstrictive effect. Sinus tachycardia is the most remarkable rhythm
alteration observed in this study. It is present in almost all patients at the adrenaline peak. Hemodynamic alterations, mainly arterial hypertension, must be carefully observed, especially on predisposed patients.
CONCLUSION: When the patient receives adequate preoperative care and intraoperative monitoring, rhinoplasty under local anesthesia is a safe procedure.
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