Experience with lignocaine 0.1% with adrenaline1:1,000,000 In 328 general surgery patients

Abstract

Background: There is little published in the English literature on the use of very dilute solutions of lignocaine and adrenaline in general surgery.
Methods: The author used 0.1 per cent lignocaine with 1:1,000,000 adrenaline in 328 patients following premedication with pethidine, chlorpromazine and diazepam. The response to surgery was evaluated using six categories.
Results: Ninety three per cent of patients were categorized in the top three categories of perfect, excellent and very good. Good and fair categories were seen in seven patients. The “poor” category which meant conversion to endotracheal general anaesthesia was not recorded. The discussion section deals with the method of preparing the solution, technical considerations, relative contraindications, complications in 2 common operations, drawbacks of the technique and its advantages.
Conclusion: Lignocaine 0.1% With Adrenaline1:1,000,000 solution is effective, inexpensive and safe.