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Plasma catecholamine concentrations—changes after infiltration with local anaesthetic solutions and adrenaline during bat-ear surgery
Authors:J. K. L. Lew  FFARCS    K. A. Mobley  FFARCS    K. J. Achola  MSc    G. Smith  MD  FFARCS  
Affiliation:University Department of Anaesthesia, Leicester Royal Infirmary.
Abstract:Plasma catecholamine concentrations were measured in 12 patients who had bilateral bat-ear surgery following infiltration of each ear with 2 ml 2% lignocaine with adrenaline 1:100,000. Venous blood samples were withdrawn before and at set intervals after infiltration. Plasma adrenaline concentration increased from 0.8 pmol/ml to a peak of 2.2 pmol/ml at 2 minutes after infiltration; this is an increase of 175%. There was no significant change in plasma noradrenaline concentration.
Keywords:Anaesthetics, local   lignocaine    Sympathetic nervous system   catecholamines, sympathomimetic agents
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