Comparative effectiveness of benzyl alcohol 0.9% as a local anaesthetic for minor plastic surgery procedures

Comparative effectiveness of benzyl alcohol 0.9% as a local anaesthetic for minor plastic surgery... Although the duration of anaesthesia provided by benzyl alcohol 0.9% is limited, its possible advantages as a local anaesthetic in minor plastic surgery procedures include its inexpensiveness and a lower rate of adverse reactions compared to other local anaesthetics. A double blind, randomised controlled trial was performed to compare the amount of pain experienced after both subcutaneous infiltration and the surgical procedure using commonly used local anaesthetics or benzyl alcohol 0.9%. Ninety patients were randomly and consecutively assigned to one of three groups of thirty subjects. A different anaesthetic solution was used for each group: Group A: 1% mepivacaine with epinephrine 1:100000; Group B; 1% mepivacaine with epinephrine 1:100000 “neutralized” with sodium bicarbonate 80 meq/L; Group C: 0.9% benzyl alcohol. Immediately after intradermal infiltration, and following each surgical procedure, the patients were asked to quantify on a visual analogue scale the degree of pain felt. Benzyl alcohol 0.9% has proven to be an effective local anaesthetic agent for minor plastic surgery procedures, providing less painful intradermal infiltration compared to the other local anesthetics tested. In our opinion, benzyl alcohol 0.9% represents an excellent and cheap alternative for patients having minor plastic surgery and having a history of allergy to other local anaesthetics. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Comparative effectiveness of benzyl alcohol 0.9% as a local anaesthetic for minor plastic surgery procedures

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Publisher
Springer-Verlag
Copyright
Copyright © 1999 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050162
Publisher site
See Article on Publisher Site

Abstract

Although the duration of anaesthesia provided by benzyl alcohol 0.9% is limited, its possible advantages as a local anaesthetic in minor plastic surgery procedures include its inexpensiveness and a lower rate of adverse reactions compared to other local anaesthetics. A double blind, randomised controlled trial was performed to compare the amount of pain experienced after both subcutaneous infiltration and the surgical procedure using commonly used local anaesthetics or benzyl alcohol 0.9%. Ninety patients were randomly and consecutively assigned to one of three groups of thirty subjects. A different anaesthetic solution was used for each group: Group A: 1% mepivacaine with epinephrine 1:100000; Group B; 1% mepivacaine with epinephrine 1:100000 “neutralized” with sodium bicarbonate 80 meq/L; Group C: 0.9% benzyl alcohol. Immediately after intradermal infiltration, and following each surgical procedure, the patients were asked to quantify on a visual analogue scale the degree of pain felt. Benzyl alcohol 0.9% has proven to be an effective local anaesthetic agent for minor plastic surgery procedures, providing less painful intradermal infiltration compared to the other local anesthetics tested. In our opinion, benzyl alcohol 0.9% represents an excellent and cheap alternative for patients having minor plastic surgery and having a history of allergy to other local anaesthetics.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Apr 15, 1999

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