[Complications of local anesthesia--causes, prevention and treatment].
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The frequency of exposure queratitis over 177 patients in extracardiac surgery is determinate. Differents prophilactic methods are discussed. The best results are obtained with palpebral occlussion, and preious instillation of methulose solution.
At the present time novocain still remains the anesthetic of choice in ambulatory surgery and traumatology. In practical work the 2% and 0.5% solutions are used. The 2% solution of novocain can in some cases (in patients prone to angiodystonic reactions) cause a persistent spasm of digital arteries that results in irreversible alterations in finger tissues down to the development of gangrene. This fact was confirmed in experiments with 2% solutions of novocain. It is proposed to follow the recommendations on using the 0.5% and 1% solutions of novocain for regional anesthesia in fingers. Such anesthetics as Lidocain and Trimecain should be used more widely since they possess more pronounced and continuous anesthetizing properties.
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