Heart rate effects of intraosseous injections using slow and fast rates of anesthetic solution deposition.

Abstract

The authors, using a crossover design, randomly administered, in a single-blind manner, 3 primary intraosseous injections to 61 subjects using: the Wand local anesthetic system at a deposition rate of 45 seconds (fast injection); the Wand local anesthetic system at a deposition rate of 4 minutes and 45 seconds (slow injection); a conventional syringe injection at a deposition rate of 4 minutes and 45 seconds (slow injection), in 3 separate appointments spaced at least 3 weeks apart. A pulse oximeter measured heart rate (pulse). The results demonstrated the mean maximum heart rate was statistically higher with the fast intraosseous injection (average 21 to 28 beats/min increase) than either of the 2 slow intraosseous injections (average 10 to 12 beats/min increase). There was no statistically significant difference between the 2 slow injections. We concluded that an intraosseous injection of 1.4 mL of 2% lidocaine with 1 : 100,000 epinephrine with the Wand at a 45-second rate of anesthetic deposition resulted in a significantly higher heart rate when compared with a 4-minute and 45-second anesthetic solution deposition using either the Wand or traditional syringe.

DOI: 10.2344/0003-3006(2008)55[9:HREOII]2.0.CO;2
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@article{Susi2008HeartRE, title={Heart rate effects of intraosseous injections using slow and fast rates of anesthetic solution deposition.}, author={Louis Susi and A V Reader and John M. Nusstein and Mike Beck and Joel M Weaver and Melissa Drum}, journal={Anesthesia progress}, year={2008}, volume={55 1}, pages={9-15} }