Intradermal Infiltration of Local Anesthetic—Rapid and Bloodless Deepithelialization of the Breast Pedicle

Bennett, Katelyn G.; Gilman, Robert H.

doi:10.1097/gox.0000000000001225

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…The difference in the proportion of patients presenting with skin necrosis, secretion, swelling and infection between the two groups was insigni cant (P > 0.05). Bennett et al report that there has only been one case of skin necrosis due to an intradermal injection in 20 years [17] , and this result is consistent with this study's ndings.…”

Section: Discussionsupporting

confidence: 92%

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A Simple and Effective Method for Bleeding Control During Percutaneous Dilatational Tracheostomies

Zhai

et al. 2020

Preprint

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Objectives: This study describes an intradermal injection technique for reducing bleeding during a percutaneous dilatation tracheotomy (PDT).Methods: Fifty-two consecutively recruited patients who underwent PDTs were analysed in a prospective study that was conducted between May 2019 and January 2020. This is a prospective study and fifty-two patients who underwent PDT were recruited from May 2019 to January 2020. They were randomly divided into an observation group and a control group. The patients in the observation group accepted the execution of the intradermal injection technique during their local anaesthesia. A comparison was made between the two groups’ intraoperative bleeding, postoperative bleeding, operation time and length of incision.Results: A total of 52 patients were enrolled in this study, 33 males (63.5%) and 19 females. The mean age was 63.0±9.9 years, with the patients’ age ranging from 45 to 80 years. The mean BMI was 29.2±5.1 kg/m2. There was no significant difference in gender, age, BMI index and whether they had an endotracheal tube between the two groups (P > 0.05). The observation group’s intraoperative bleeding was less than that of control group (χ2 = 8.308, P = 0.009). There was no significant difference in operation time between the two groups (t = -0.904, P = 0.372). There was no PDT-related death.Conclusion: The intradermal injection technique can be used to effectively and safely reduce bleeding during PDTs. This technique provides a lower intraoperative bleeding grade without increased the procedure’s duration.

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Section: Discussionsupporting

confidence: 92%

“…An intradermal injection has been used as an e cient and safe technique for haemostasis in breast surgery [17] . The hydro-dissect effect between the epidermis and the dermis is the main mechanism of haemostasis.…”

Section: Discussionmentioning

confidence: 99%