The Efficacy of Combined Local and General Anesthesia or General Anesthesia Alone in External Dacryocystorhinostomy: A Randomized Controlled Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Effects of; Anesthesia, Local,Pain,in DISE
- Sponsor
- Zagazig University
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- hemodynamic assessment
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
To Study the effect of combination of of general anesthesia and local anesthesia in anesthesia for external dacryocystorhinostomy and assess quality of the procedure
Detailed Description
* calculate the total requirement for anaesthetic agents to maintain satisfactory operating conditions * calculate total anesthetic time * assess intraoperative changes in hemodynamics * assess intraoperative blood loss * evaluate surgeon and patient satisfaction * recognize whether this was related with changes in postoperative analgesia . * Also occurrence of postoperative nausea was recorded and compared with general anaesthesia combined with intravenous opioid for (EXT-DCR) surgery.
Investigators
Heba Mohamed EL -Asser,MD
Heba Mohamed EL -Asser,MD
Zagazig University
Eligibility Criteria
Inclusion Criteria
- •Age from 20 to 50 years old.
- •American society of anesthesiologists (ASA) physical status I or II.
- •Elective unilateral Dacryocystorhinostomy with paranasal skin incision.
Exclusion Criteria
- •Endoscopic Dacryocystorhinostomy.
- •Allergy to amide local anesthetics or opioids.
- •Drug abuse.
- •Pregnancy.
Outcomes
Primary Outcomes
hemodynamic assessment
Time Frame: for 24 hours
Change in arterial blood pressure were recorded preoperatively, after induction of general anesthesia, after IV injection of 10 ml syringe and after local infiltration, then every 5 min intraoperatively, and during early recovery, and every 30 min, thereafter for 24 hours
postoperative pain assessment
Time Frame: change in visual analogue scale at 1, 2, 4, 6, 8, 12, and 24 hours postoperative after extubation
To quantify the intensity of postoperative pain, the patients were asked to use a 10-cm visual analog scale (VAS) grade from 0-cm (no pain) to 10-cm (the worst possible pain) 1, 2, 4, 6, 8, 12, and 24 h after extubation
Secondary Outcomes
- time to rescue analgesia(up to 24 hours of postoperative)
- extubation time(intraoperative (from time of anesthesia ended till extubation and recorded in each patient in minutes))
- patient and surgeon satisfaction(assessed on the first postoperative day from both patients and surgeons.)
- The number of patients who required nalbuphine in the postoperative period,(up to 24 hours of postoperative)
- mean isoflurane %(intraoperative ( recorded every 5 minutes))
- intraoperative bleeding(at the end of surgery)