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Comparison of cocaine alone or with adrenaline on nasal mucosal blood flow

Published online by Cambridge University Press:  29 June 2007

M. J. Porter*
Affiliation:
London
J. Marais
Affiliation:
London
N. Tolley
Affiliation:
London
*
Mr M. J. Porter, M.A., F.R.C.S., Orsett Hospital, Orsett, Essex, RM16 3EV.

Abstract

Cocaine is commonly used in ENT practice for its vasoconstrictor and anaesthetic properties. It is sometimes combined with adrenaline. The laser Doppler Flowmeter was used to compare the effect of 5 per cent concaine alone or with adrenaline (1 in 1,000) on nasal mucosal blood flow.

The results show an average fall in blood flow of 76.7 per cent for cocaine with adrenaline, compared to 61.2 per cent with concaine alone. The difference is significant (P<0.05). The time taken for the blood flow to fall was an average of 131 s and 160 s respectively. These differences are not significant.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

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Footnotes

Presented at ORS meeting, Gloucester 19 April 1991

References

Adriani, J., Zepernick, R. (1964) Clinical effectiveness of drugs used for topical anesthesia. Journal of the American Medical Association, 188: 711718.Google ScholarPubMed
Beaumont, G. D. (1974) The effects of topical cocaine and adrenaline anaesthesia on the nose combined with general anaesthesia. Journal of Oto-laryngology Society of Australia, 3(5): 691696.Google Scholar
Bende, M., Fisberg, K., Larsson, K., Ohlin, P., Olsson, P. (1983) A method for determination of blood flow with 133 Xe in human nasal mucosa. Acta Otolaryngologica, 96: 277285.CrossRefGoogle Scholar
Bromley, L., Hayward, A. (1988) Cocaine absorption from the nasal mucosa. Anaesthesia, 43: 356358.CrossRefGoogle ScholarPubMed
Campbell, D., Adriani, J. (1958) Absorption of local anesthetics. Journal of the American Medical Association, 168: 873877.CrossRefGoogle ScholarPubMed
Johnson, J. M., Taylor, W. F., Shepherd, A. P., Park, M. K. (1984) Laser Doppler measurement of skin blood flow: comparison with plenthysmography. Journal of Applied Physiology, 56: 798803.CrossRefGoogle Scholar
Mayer, E. (1924) The toxic effects following the use of local anaesthetics—an analysis of the reports of 43 deaths. Journal of the American Medical Association, 82: 876883.CrossRefGoogle Scholar
Moffet, A. J. (1941) Postural instillation. A method of inducing local anaesthesia in the nose. Journal of Laryngology and Otology, 56: 429436.CrossRefGoogle Scholar
Olsson, P., Bende, M., Ohlin, P. (1985) The Laser Doppler Flowmeter for measuring microcirculation in human nasal mucosa. Acta Otolaryngologica, 99: 133139.CrossRefGoogle ScholarPubMed
Olsson, P. (1986) A comparison between the 133 Xe washout and Laser Doppler techniques for estimation of nasal mucosal blood flow in humans. Acta Otolaryngologica, 102: 106112.CrossRefGoogle Scholar
Pearman, K. (1979) Cocaine: A review. Journal of Laryngology and Otology, 93: 11911199.CrossRefGoogle ScholarPubMed
Porter, M. J. (1991) A comparison between the effect of ice cubes on the forehead and ice cubes in the month on nasal submusocsal temperature. Rhinology, 29: 1115.Google Scholar
Quiney, R. E. (1986) Intranasal topical cocaine: Moffet's Method of topical cocaine paste? Journal of Laryngology and Otology, 100: 279283.Google Scholar
Smits, G. J., Roman, R. J., Lombard, J. H. (1986) Evaluation of the Laser Doppler flowmeter as a measure of tissue blood flow. Journal of Applied Physiology, 61: 666672.CrossRefGoogle ScholarPubMed
Verlander, J. M., Johns, M. E. (1981) Clinical use of cocaine. Otolaryngologic Clinics of North America, 14(3): 521531.CrossRefGoogle ScholarPubMed
Wright, R. G., Cochrane, T. (1990) A comparison of the effect of two commonly used vasocontrictors on nasal mucosal blood flow and nasal airway. Acta Otolaryngologica, 109: 137141.CrossRefGoogle Scholar