Can rasping be done without epinephrine?

Question

I need a rasp for a minor bump. I would like to avoid epinphrene and do local anesthesia only. I have read of cardiac emergencies from patients who have gotten lido/epi with nose procedures.

Jeffrey H. Spiegel, MD · Answer

Yes , this can be done but unless you have a very serious heart condition, the amount of epinephrine in the local anesthesia is too small to worry about and should provide improved surgery conditions as well as improved pain relief.

Zoran Potparic, MD · Answer

It is not clear for what reason you would like to avoid epinephrine mixed with local anesthetic. There are very few patients with a history of hyperreaction to epinephrine. A very diluted xylocaine with epinephrine or plain xylocaine may be used for the small dorsum of the nose rasping that is all that you need.

Ronald J. Edelson, MD · Answer

The amount of  epinephrine  used for such as case would be highly unlikely to cause any if the problems you mention. It’s very safe

Eric M. Joseph, MD · Answer

Sometimes somebody's heart rate and increase after administration of Lidocaine with epinephrine, however, if there is no pre-existing heart disease this does not lead to a heart attack or other cardiac problems. You are concerned that you may have a problem with your heart or if you have risk factors for heart disease, it may be best for you to visit a cardiologist before considering nasal surgery.

The purpose of using epinephrine is to decrease bleeding, bruising and swelling. Hope this helps! Sincerely, Dr Joseph

The purpose of using epinephrine is to decrease bleeding, bruising and swelling. Hope this helps! Sincerely, Dr Joseph

Mats Hagstrom, MD (license on probation) · Answer

I suggest you let the drivers do the driving.
It’s certainly possible to do surgery without using an epinephrine.
I suggest you let the drivers do the driving.
It’s certainly possible to do surgery without using epinephrine.
It tends to be a bloody mess when doing rhinoplasty surgery, leading to significant and unnecessary bruising.
I suggest you talk to your provider.
The use of epinephrine and local anesthesia is super safe and probably as much safer than avoiding it.
I read a story one time of a man who looked at his watch and then got struck by lightning.
I’m definitely never looking at my watch for the rest of my life.
Best,
Mats Hagstrom, MD

Can rasping be done without epinephrine?

Answers (5)

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