Epinephrine with local during surgery
CHERYLKANEPPER
administration? It would be given to me along with local anesthetic for minor
surgery. I know about the hypertension and I do have borderline hypertension
and whitecoat hypertension. I would also take oral valium prior to surgery.
Thanks for any answers.
Dr. Andrew B. Chung, MD/PhD
Why not simply ask to *not* receive the epinephrine since you are concerned about
it?
Humbly,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com
Stephen Nagler
<and...@heartmdphd.com> wrote:
>CHERYLKANEPPER wrote:
>
>> Anyone know how to screen a patient for undesireable reaction to epinephrine
>> administration? It would be given to me along with local anesthetic for minor
>> surgery. I know about the hypertension and I do have borderline hypertension
>> and whitecoat hypertension. I would also take oral valium prior to surgery.
>> Thanks for any answers.
>
>Why not simply ask to *not* receive the epinephrine since you are concerned about
>it?
>
...............
Maybe because the epinephrine decreases bleeding and prolongs the
effect of the local?
Cheryl, the amount of epinephrine in a local anestheitic is
negligible. Unless large amounts of anesthetic are used or unless the
anesthetic is inadverently injected into a vein, there should be no
systemic effect whatsoever. Discuss your concerns with your doctor.
There are pros and cons for the use of epinephrine in a local.
Generally the pros outweigh the cons - but do have that discussion ...
and together you can decide what's in your best interest.
You know, my definition of "major" surgery is *any* surgery that is
done on me! :-)
I know you are concerned with your upcoming procedure - however minor
- and I do wish you well with it. In fact I can say with complete
confidence that everybody here does too! Everybody.
smn
FreespiritedFem
about from epinephrine (and all I've heard is alleged) were from bad
reactions to normal administrations. However, I realize many medical mistakes
are covered up or simply never recognized. I'm wondering what non-invasive
tests could be conducted to relatively rule out the chances of having an
incident from epinephrine. Thank you for your answer.
FreespiritedFem
local. The only other option I may have is general anesthesia, which I refuse
for any cosmetic procedure. This procedure is little more than a skin cut.
Dr. Andrew B. Chung, MD/PhD
For such a small amount, it is unlikely you will feel something untoward with the
small amount of epinephrine mixed with the local anesthetic. This epinephrine is
useful for local vasoconstriction which should allow the local anesthetic to hang
around longer.
FreespiritedFem
could you tell me what would be the minimum and maximum amount of epi to be put
into the local, considering being enough to control bleeding and little enough
to be safe. I read something about a safe amount being .018 to .038mg. Also
I've seen it written in another form such as 1:50,000. If it's any help, the
cuts are for the anterior mini facelift, the cuts no longer than 1 1/2 inch
each (one on each side of the head, naturally), with very little undermining.
I read it's 6 to 8 sutures required (for each cut, I assume) Thanks again so
much! Sherry
Dr. Andrew B. Chung, MD/PhD
> Andrew, thanks for your anxiety-allaying answer.
You are welcome.
> One more question though:
> could you tell me what would be the minimum and maximum amount of epi to be put
> into the local, considering being enough to control bleeding and little enough
> to be safe.
Usual concentration is 1 mg per 1000 mls.
> I read something about a safe amount being .018 to .038mg.
The actual amount will depend on the volume of the local anesthetic administered.
> Also
> I've seen it written in another form such as 1:50,000. If it's any help, the
> cuts are for the anterior mini facelift, the cuts no longer than 1 1/2 inch
> each (one on each side of the head, naturally), with very little undermining.
> I read it's 6 to 8 sutures required (for each cut, I assume) Thanks again so
> much! Sherry
You are probably going to get about 0.015 mg of epi (15 mls of local anesthetic).
Humbly,
Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
Stephen Nagler
<and...@heartmdphd.com> wrote:
>Usual concentration is 1 mg per 1000 mls.
..............
Usual concentration is 5 mg per 1000 mls.
.................
>
>You are probably going to get about 0.015 mg of epi (15 mls of local
>anesthetic).
.................
You are probably going to get about 0.075 mg of epi (15 mls of local
anesthetic.
....................
>
>Humbly,
>
>Andrew
......................
Accurately,
smn
FreespiritedFem
tells me. Hopefully there won't be too much of a difference. :) Sherry
FreespiritedFem
Andrews paramaters. :) Sherry
Dr. Andrew B. Chung, MD/PhD
> Andrew, thanks again.
You're welcome :-)
> I will check this against what the cosmetic surgeon
> tells me.
Good.
> Hopefully there won't be too much of a difference. :) Sherry
There shouldn't be.
Stephen Nagler
wrote (in part):
>smn, thank you for your answers.
.............
Not a problem.
Hope all goes well.
smn