Efficacy of Bilateral Ultrasonic Guided Sphenopalatine Ganglion Block in Maxilofacial Cancer Surgeries
- Conditions
- Maxillofacial Tumors
- Interventions
- Other: sphenopalatine block with local anestheticOther: 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
- Adults patients of ASA physical status I and II, aged 20-70 year who will be scaduled for Maxillo - facial cancer surgeries
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description sphenopalatine block using saline sphenopalatine block with local anesthetic - sphenopalatine block using local anasthetic sphenopalatine block with saline -
- Primary Outcome Measures
Name Time Method Post - operative analgesia 24 hours postopeatively according to VAS measured in the postoperative period
- Secondary Outcome Measures
Name Time Method total dose of analgesic consumption 24 hours total nalufen dose
number of patients required analgesia 24 hours number of patients required nalufen
Trial Locations
- Locations (1)
NCI, Cairo university
🇪🇬Cairo, Egypt