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Efficacy of Bilateral Ultrasonic Guided Sphenopalatine Ganglion Block in Maxilofacial Cancer Surgeries

Not Applicable
Completed
Conditions
Maxillofacial Tumors
Interventions
Other: sphenopalatine block with local anesthetic
Other: sphenopalatine block with saline
Registration Number
NCT03171090
Lead Sponsor
Assiut University
Brief Summary

Patients will be randomly allocated according to computer - generated tables to one of two groups, group (A) ultrasonic guided sphenopalatine block using local anasthetic, group (B) ultrasonic guided sphenopalatine block using saline. Before induction anesthesia the following will be assessed, time needed to perform the technique, time till onset of the block, distribution of the block (Opthalmic, Maxillary, Mandibular) by needle brick.Intra and post- operatively the following will be assesse the quality of operative filed every 30 min intra-operatively using a pre- defined average category scale (ACS) (from 0 to 5), End tidal Sevo Flurane concentration will be recorded intra- operatively every 5 minutes, The total amount of Nitroglycerine used to achieve the target MAP and frequency of propranolol usage will be recorded,emergence time, postoperative VAS score and amount of meperdine used for rescue analgesia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Adults patients of ASA physical status I and II, aged 20-70 year who will be scaduled for Maxillo - facial cancer surgeries
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Exclusion Criteria
  • patients with disfigurement and disturbed anatomy that will not allow easy access to the sphenopalatine ganglion, bleeding disorders, history of hepatic, renal or cardiopulmonary dysfunction, patients receiving drugs affecting coagulation or cardiovascular active medication are excluded also patients having infection or allergies to local anesthetics
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
sphenopalatine block using salinesphenopalatine block with local anesthetic-
sphenopalatine block using local anastheticsphenopalatine block with saline-
Primary Outcome Measures
NameTimeMethod
Post - operative analgesia24 hours postopeatively

according to VAS measured in the postoperative period

Secondary Outcome Measures
NameTimeMethod
total dose of analgesic consumption24 hours

total nalufen dose

number of patients required analgesia24 hours

number of patients required nalufen

Trial Locations

Locations (1)

NCI, Cairo university

🇪🇬

Cairo, Egypt

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