A bilateral facial block (infraorbital and infratrochlear) will be performed immediately after intubation in patients undergoing outpatient rhinoplasty with 2.5% levobupivacaine (intervention group) or saline as control. Intravenous saline or morphine will be administered at the end of surgery in intervention or control groups, respectively. In case of pain in post-anesthesia care unit (numerical pain score \>3 on a 0-10 scale), both groups will receive intravenous morphine titration. The total perioperative morphine consumption (intraoperative and in post-anesthesia care unit) will be compared between groups. Pain intensity, presence of nausea/vomiting and patient's satisfaction will be compared between groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
40
Bilateral facial block (infraorbital and infratrochlear) after general anesthesia before surgery with intravenous placebo or bilateral block with placebo and intravenous morphine
Hôpital Edouard Herriot
Lyon, France
Total morphine consumption during the perioperative period (operating theater and post-anesthesia care unit)
At the end of post-anesthesia care unit stay
Time frame: J0
Pain intensity in post-anesthesia care unit
0-10 numerical rating scale (NRS) : from 0 = no pain to 10 = worst pain imaginable
Time frame: J0 (At arrival in post-operative care unit)
Postoperative nausea and vomiting
Presence or absence of nausea/vomiting
Time frame: J1 (At day 1 after surgery)
Patient satisfaction at day 1
0-3 scale (0 = bad, 1 = poor, 2 = good, 3 = excellent)
Time frame: J1 (At day 1 after surgery)
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