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Artigo em Inglês | MEDLINE | ID: mdl-19273915

RESUMO

PURPOSE: To compare the pain induced by tissue infiltration of lidocaine 2% with epinephrine 1:100,000 versus articaine 4% with epinephrine 1:100,000 for eyelid surgery. METHODS: Thirty patients undergoing bilateral eyelid surgery were enrolled in a prospective, randomized, double-masked study. Each subject received injections of lidocaine 2% with epinephrine 1:100,000 (Xylocaine) on one side and articaine 4% with epinephrine 1:100,000 (Septocaine) on the other for surgical anesthesia. The patients rated the pain of infiltration using a 100-mm visual analogue scale immediately after receiving each injection. The pain scores were compared using the paired t test. RESULTS: Twenty-two of the 30 patients (73.3%) rated the articaine injection as less painful than the lidocaine injection. The mean pain score for lidocaine was 42.60 +/- 24.74 and the pain score for articaine was 31.85 +/- 20.28 (p = 0.011). CONCLUSIONS: In this study, infiltration of articaine was less painful than lidocaine for eyelid surgery, making articaine an attractive alternative for local anesthesia.


Assuntos
Anestesia Local/métodos , Anestésicos Locais/efeitos adversos , Carticaína/efeitos adversos , Epinefrina/efeitos adversos , Doenças Palpebrais/cirurgia , Lidocaína/efeitos adversos , Dor/induzido quimicamente , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anestésicos Locais/administração & dosagem , Método Duplo-Cego , Combinação de Medicamentos , Feminino , Humanos , Injeções , Masculino , Pessoa de Meia-Idade , Medição da Dor , Estudos Prospectivos , Adulto Jovem
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