[Can choice of medications and adjuvants reduce risks of local anesthetic complications?].
Local anesthetic agents in high concentrations may cause local irritation by ischemia especially after the use of adrenaline whereas felypressin has no tissue-irritating properties. Adrenaline but not felypressin increases the intravenous systemic toxicity. Noradrenaline has to be avoided as a vasoconstrictor. An aspiration test before injection will decrease the risk of inadvertent intravenous injection.
Niesel
H C
HC
St. Marien- und St. Annastiftskrankenhaus.
Kaiser
H
H
D000759:Adjuvants, Anesthesia / Q000633:toxicity; D000771:Anesthesia, Intravenous; D000779:Anesthetics, Local / Q000633:toxicity*; D000818:Animals; D004837:Epinephrine / Q000633:toxicity*; D005259:Felypressin / Q000633:toxicity*; D051379:Mice; D014662:Vasoconstrictor Agents / Q000633:toxicity*
D000759:Adjuvants, Anesthesia; D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D005259:Felypressin; D004837:Epinephrine
Kann durch die Auswahl von Medikamenten und Adjuvantien das Komplikationsrisiko von Lokalanästhesien gesenkt werden?