The hemostatic efficacy, as well as the cardiovascular effects of racemic-epinephrine pellets (Racellet pellets) vs. 20% ferric sulfate (Viscostat).
- N=39 for periapical surgery, Inclusion: ASA class I & II. Group 1=ferric sulfate Group 2= racellet pellets.
- Blood pressure and pulse rate were recorded pre- and postoperatively and at at 1, 5, and 10 min after placement.
- The adequacy of hemostasis was rated by the surgical operator.
- Surgical hemostasis achieved in 15 out of the 16 treated with Ferric Sulfate and all 17 cases treated with racemic-epinephrine pellets.
- No significant change in cardiovascular effects when using either of these hemostatic agents.
Racemic-epinephrine (Epinephrine concentration # 2 = 0.55 mg/pellet) pellets can be used for hemostasis with no cardiovascular effect.