Comparison of injection pain of articaine and lidocaine in eyelid surgery

Eric Steele, John Ng, Tasha M. Poissant, Nancy M. Campbell

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: To compare the pain induced by tissue infiltration of lidocaine 2% with epinephrine 1:100,000 versus articaine 4% with epinephrine 1:100,000 for eyelid surgery. Methods: Thirty patients undergoing bilateral eyelid surgery were enrolled in a prospective, randomized, double-masked study. Each subject received injections of lidocaine 2% with epinephrine 1:100,000 (Xylocaine) on one side and articaine 4% with epinephrine 1:100,000 (Septocaine) on the other for surgical anesthesia. The patients rated the pain of infiltration using a 100-mm visual analogue scale immediately after receiving each injection. The pain scores were compared using the paired t test. Results: Twenty-two of the 30 patients (73.3%) rated the articaine injection as less painful than the lidocaine injection. The mean pain score for lidocaine was 42.60 ± 24.74 and the pain score for articaine was 31.85 ± 20.28 (p = 0.011). Conclusions: In this study, infiltration of articaine was less painful than lidocaine for eyelid surgery, making articaine an attractive alternative for local anesthesia.

Original languageEnglish (US)
Pages (from-to)13-15
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume25
Issue number1
DOIs
StatePublished - Jan 2009

Fingerprint

Carticaine
Eyelids
Lidocaine
Pain
Epinephrine
Injections
Nociceptive Pain
Local Anesthesia
Visual Analog Scale
Double-Blind Method
Anesthesia

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Comparison of injection pain of articaine and lidocaine in eyelid surgery. / Steele, Eric; Ng, John; Poissant, Tasha M.; Campbell, Nancy M.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 25, No. 1, 01.2009, p. 13-15.

Research output: Contribution to journalArticle

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