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Effect of Sub-Tenon's versus peribulbar anesthesia on postoperative nausea and vomiting in muscle traction ophthalmic surgeries in adults. A comparative randomized control study

Phase 3
Recruiting
Conditions
Anaesthesia
Registration Number
PACTR202206633862234
Lead Sponsor
Cairo university faculty if medicine
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
42
Inclusion Criteria

Patients aged 18 to 65 years, of both sexes.

ASA I, II.

patients undergoing muscle traction eye surgeries (buckling).

Exclusion Criteria

Patient refusal.
Uncooperative patient.
Impaired mental status, communication difficulty as deafness or language barrier.
ASA III-IV
Patients <18 years, >65 years
Axial eye length >28 mm.
Clotting and coagulation abnormalities.
ophthalmitis or inflammatory eye pathology
raised IOP
eye injury
single eye
allergy to amide type local anaesthetic
patients known to have reduced plasma cholinesterase concentrations (reduced articaine metabolism)
Patient had received an antiemetic drug or a drug with antiemetic properties during the 24 h before anaesthesia.
Patient had a body mass index =36.
Pregnant or breastfeeding women.
patient had a condition requiring chronic opioid use
patient had history of GIT pathology (gastritis, hematemesis, peptic ulcer).
Patients on corticosteroids therapy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The percent of patients who experienced nausea and vomiting over the first 24 hrs postoperative in the Sub-tenon’s block group compared with Peribulbar block group and general anesthesia group
Secondary Outcome Measures
NameTimeMethod
Compare postoperative analgesia using VRS ;Compare Intraoperative analgesia in each group; by measuring systolic, diastolic and mean BP, HR at induction (T0), immediately after induction (T1), at incision (T2), and every 15 min till the end of the procedure and serum cortisol and glucose level (baseline and 30 mins after surgery and at end of surgery).<br>
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