Effect of Local Anesthetic on Hemodynamic Measures During Nasal Surgery

Objective- To evaluate the effect of 1% lidocaine with 1:200,000 of epinephrine on hemodynamic measures and bleeding in the surgical field in patients undergoing nasal surgery compared to 1% lidocaine with 1:100,000. Recruitment plan- Patients undergoing general anesthetic for nasal surgery (septoplasty or sinus surgery) will be asked to participate in this study. All patients undergoing nasal surgery are injected with local anesthetic into the nasal mucosa after induction of general anesthetic. Those patients who agree to participate in the study will be randomized into 2 groups (injection either 1 % lidocaine with 1:100,000 or 1:200,000 of epinephrine). Procedures Patients will be put to sleep following standard general anesthetic protocol Patients will be injected with either 1% lidocaine with 1:100,000 or 1% lidocaine with 1:200,000 into the nasal mucosa After injection the following will be measured every 15 minutes for the first hour to evaluate effectiveness of the local anesthetic. Heart rate Blood pressure Routine ECG monitoring MAP (mean arterial pressure) Surgical field, degree of bleeding. Alternatives- Subjects can refuse to participate in the study. If subjects refuse to participate in the study they will still be injected with 1% lidocaine with 1:200,000 of epinephrine which is standard of care Data analysis- data will be compiled and statistical analysis will be made using PRISM software.