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The Effect of Bilateral Sphenopalatine Ganglion Block on Postoperative Pain in Patients to be Subject to Septorhinoplasty Surgery

Not Applicable
Completed
Conditions
Anesthesia of Mucous Membrane
Interventions
Procedure: Bilateral endoscopic sphenopalatine ganglion block
Procedure: placebo
Registration Number
NCT06016816
Lead Sponsor
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
Brief Summary

The aim of this study is to examine the effects of bilateral sphenopalatine ganglion block on surgical conditions, hemodynamics, intraoperative and postoperative analgesic use, recovery characteristics, and postoperative pain during septorhinoplasty under general anesthesia. The study was planned as double-blind, randomized, controlled. 72 patients who will undergo septorhinoplasty surgery will be collected. (g power analysis was performed.) Evaluation of the effectiveness of bilateral sphenopalatine ganglion block was planned. Patients will be divided into 2 equal groups (36 patients). After the induction of general anesthesia, one group (Group: 1) will be administered 8mg dexamethasone and 10mg bupivacaine submucosal, the other group (group:2) will be administered 4 cc saline. aspects will be evaluated.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • patients with an ASA score of I-II and between the ages of 17-45 years, who were to undergo general anesthesia with desflurane, were included in the study.
Exclusion Criteria
  • Patients aged <17 and >45 years, patients with liver and/or kidney failure, obese patients (BMI >30), trauma patients, ASA III-IV patients, patients with bleeding disorders, those using drugs that may affect the coagulation system, patients with cardiomyopathy, cerebrovascular disease, immobility, and malnutrition were excluded from the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Endoscopic bilateral sphenopalatine ganglion blockBilateral endoscopic sphenopalatine ganglion blockAfter the induction of general anesthesia, one group (Group: 1) will be administered 8mg dexamethasone and 10mg bupivacaine submucosal,
PlaceboplaceboPlacebo group (group:2) will be administered 4 cc saline. aspects will be evaluated.
Primary Outcome Measures
NameTimeMethod
Numeric Rating ScalePostoperative 0-2 hours, 2-8 hours,8-24 hours

They will be numbered from 1 to 10.

1 mildest 10 most severe pain

Secondary Outcome Measures
NameTimeMethod
intraoperative remifentanil consumptionintraoperative

The intraoperative ultiva infusion dose was recorded to the patient.

Riker Agitation ScaleImmediately after extubation

7 Dangerous Agitation 6 Very Agitated 5 Agitated 4 Calm and Cooperative 3 sedated 2 Very Sedated A

1 Unarousable

edema questionnairePostoperative 0-2 hours, 2-8 hours,8-24 hours

Periorbital edema was evaluated as present or absent questionnaire

mean arterial pressurewhen you come to the operating room table after anesthesia induction Intraoperative 30 minutes after extubation

mmhg

hematoma questionnairePostoperative 0-2 hours, 2-8 hours,8-24 hours

Hematoma was evaluated as present or absent questionnaire

heart ratewhen you come to the operating room table after anesthesia induction Intraoperative 30 minutes after extubation

beats\\minute

vomiting questionnairePostoperative 0-2 hours, 2-8 hours,8-24 hours

was evaluated as present or absent questionnaire

Oral analgesic useIn the first 24 hours after surgery

Analgesic use in the first 24 hours was questioned.

Trial Locations

Locations (1)

Health Sciences University Gazi Yaşargil Training and Research Hospital

🇹🇷

Diyarbakır, Kayapınar, Turkey

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