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Regular Article| Volume 52, ISSUE 6, P480-481, September 1999

Subcutaneous adrenaline infiltration in paediatric burn surgery

DOI:https://doi.org/10.1054/bjps.1999.3161
Subcutaneous adrenaline infiltration in paediatric burn surgery
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      Abstract

      Paediatric burn surgery may be associated with significant blood loss and postoperative pain. To investigate methods of reducing these symptoms, we studied a prospective series of 29 children with small to medium sized burns. Presurgically both the burn wound and split skin graft donor sites were injected with a 1:500 000 adrenaline solution, to which bupivicaine had been added. No patient required blood transfusion and no patient developed systemic side effects from the injected solution. Four patients required parenteral analgesia, two in the immediate postoperative period and two at first dressing change. In all other patients pain was controlled with oral analgesia alone. Mean graft take in our series was 95%, indicating that this technique does not compromise burn depth assessment, nor impair graft survival.

      Keywords

      References

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      Article info

      Publication history

      Accepted: April 26, 1999
      Received: December 7, 1998

      Footnotes

      ☆Eamon Beausang MD, FRCSI, Senior (Specialist) Registrar in Plastic Surgery Department of Plastic and Reconstructive Surgery, St James’s Hospital, James’s Street, Dublin 8, Ireland.

      ☆☆David Orr MD, FRCSI(Plast), Consultant Plastic Surgeon Our Lady’s Hospital for Sick Children, Crumlin, Dublin 12, Ireland.

      ★Kenn Dunn BSc, FRCS(Plast), Consultant Plastic and Burn Surgeon

      ★★Mamta Shah FRCS(Plast), PhD, Senior Registrar in Plastic Surgery

      ☆☆☆Peter Davenport LRCP, FRCS, Consultant Plastic Surgeon

      ★★★Booth Hall Children’s Hospital, Charlestown Road, Blackley, Manchester M9 2AA, UK.

      Identification

      DOI: https://doi.org/10.1054/bjps.1999.3161

      Copyright

      © 1999 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.

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