ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
|
|
|
|
ORIGINAL RESEARCH ARTICLES |
Use Of Diphenhydramine As Local Anesthetic
Sema TUNCER*, Alper YOSUNKAYA*, Ruhiye REİSLİ*, Seza APİLLİOĞULLARI**,
Aybars TAVLAN*, Şeref OTELCİOĞLU***
* Yrd.Doç.Dr., S.Ü.M.T.F. Anesteziyoloji ve Reanimasyon AD,
** Uz.Dr., Konya Numune Hastanesi
***Prof.Dr., S.Ü.M.T.F Anesteziyoloji ve Reanimasyon AD, KONYA
Purpose: Diphenhydramine has been suggested as a local anesthetic agent for patients claiming allergy to local anesthetics. In this study, we aimed to evaluate the efficiency of diphenhydramine in local anesthetic, onset of action and side effects by comparing prilocain in infiltration anesthesia before epidural insertions. Material and Method: Patients were divided into 3 groups as randomize. Group I (n=13): diphenhydramine 20 mg=2 ml, Group II (n=15): 1% prilocaine 2 ml, Group III (n=15): 2% prilocaine 2 ml. Infiltration anesthesia was applied by 22 gauge needle. Existing pain was evaluated by using VAS (visual analog scala). It was evaluated by using sensory block blunt end of a 27 gauge dental needle. The time when VAS=0-1 was accepted as onset of action and epidural anesthesia (18 G epidural needle) was applied. During the application the pain was evaluated again. Results: The onset of action duration was long in Group I (p<0.05). No differentiation was observed in Group II-III. Analgesic efficiency was found better in Group I-III than in Group II (p<0.05). There was no differentiation between groups III and I. No patients had any local skin reaction.Conclusion: In this study, in infiltration anesthesia, although the onset of action time is longer than prilocaine, local anesthetic efficiency of diphenhydramine was found efficient as %2 prilocaine.Keywords: Diphenhydramine, Anesthetics, LocalTurkiye Klinikleri J Med Sci 2003, 23:220-222
|
|
|
|
|
