Efficacy of Regional Block of the Nose in Achieving Hypotensive Anaesthesia in Septo-rhinoplasty Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Hypotensive anesthesia
研究概览
简要总结
Septorhinoplasty is a cosmetic surgery that many people are choosing to undergo. It can be done under general anesthesia, twilight anesthesia or regional anesthesia. Controlled hypotensive anesthesia is required to minimize bruising, swelling, and bleeding that reduces visibility in the operative field and hence satisfactory surgical outcome.
The goal of our study to prove that regional block of the nose provides efficient hypotensive anesthesia
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists (ASA) physical status I-II
- •Scheduled for elective septo-rhinoplasty surgery
排除标准
- •Patients with hypertension or coronary artery disease,
- •Patients with renal, hepatic or cerebral insufficiency,
- •Patients with coagulopathy or receiving drugs influencing blood coagulation,
- •Patients with known sensitivity to any of the study drug
研究组 & 干预措施
GS [General anesthesia]
Patients will receive general anesthesia with Fentanyl boluses of 0.5 mcg.Kg-1 given to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.
干预措施: General anesthesia with fentanyl boluses (Other)
GR [General anesthesia + regional block]
Patients will receive general anesthesia with Fentanyl boluses of 0.5 mcg.Kg-1 given to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.
Also patients will receive trans-oral bilateral sphenopalatine ganglion block and trans-oral bilateral infraorbital nerve block. Fentanyl boluses of 0.5 mcg.Kg-1 will be given when needed to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.
干预措施: General anesthesia with fentanyl boluses (Other)
GR [General anesthesia + regional block]
Patients will receive general anesthesia with Fentanyl boluses of 0.5 mcg.Kg-1 given to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.
Also patients will receive trans-oral bilateral sphenopalatine ganglion block and trans-oral bilateral infraorbital nerve block. Fentanyl boluses of 0.5 mcg.Kg-1 will be given when needed to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.
干预措施: Regional block (Procedure)
结局指标
主要结局
Hypotensive anesthesia
时间窗: Intraoperative
Measurement of Mean arterial blood pressure
Requirements of Fentanyl
时间窗: Intraoperative
Assessment of intraoperative fentanyl doses of \[Fentanyl boluses of 0.5 mcg.Kg-1 will be given to maintain mean arterial pressure (MAP) between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1\]
次要结局
- Average category scale (ACS)(Intraoperative)
研究者
Hanan Mahmoud Farag Awad
Assisstant Professor
Ain Shams University