Assessment of the Haemodynamic Effect of Adrenaline in Septoplasty Procedure

Background: The present study aims to assess the haemodynamic effect of adrenaline in septoplasty procedure. Materials and Methods: One hundred ten adult patients in age ranged 20-40 years of either sex were classified them into 2 groups, each containing 55 patients. Group A patients were administered infiltration of 2% lignocaine with 1:100,000 adrenaline and in group B, 2% lignocaine with topical 1:100,000 adrenaline was used. Parameters such as heart rate, blood pressure, blood loss and pain (VAS) was recorded in both groups. Results: Mean age in group A was 34.5 years and in group B was 38.2 years, weight was 72.4 kg in group A and 72.8 kg in group B. In group A, pre-anaesthetic systolic blood pressure was 120.6 and in group B was 118.4. The mean pre-operative heart rate (beats/min) was 79.8 in group A and 78.2 in group B, 1st heart rate was 81.2 in group A and 75.2 in group B, 5th heart rate was 78.6 in group A and 73.6 in group B and 10th heart rate was 74.2 in group A and 72.5 in group B. VAS score at 1 hr was 6 in group A and 5 group B, at 2 hrs was 7.2 and 6, at 6 hrs was 8.5 and 7, at 12 hrs was 7 and 8 and at 24 hrs was 8 in group A and 9 in group B. In group A, procedure time was 36.4 min and in group II was 40.2 min, blood loss was 50.6 mL in group A and 72.4 mL in group B and partial oxygen pressure was 99% in both groups. Conclusion: There was no difference in haemodynamic in both groups, hence, there is no need to use topical adrenaline in septoplasty patients.