Regional Block of the Nose for Hypotensive Anaesthesia in Septo-rhinoplasty

Ain Shams University60 enrolled

Overview

Septorhinoplasty is a cosmetic surgery that many people are choosing to undergo. It can be done under general anesthesia, twilight anesthesia or regional anesthesia. Controlled hypotensive anesthesia is required to minimize bruising, swelling, and bleeding that reduces visibility in the operative field and hence satisfactory surgical outcome. The goal of our study to prove that regional block of the nose provides efficient hypotensive anesthesia

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Enrollment

Conditions

Hypotensive Anesthesia

Interventions

General anesthesia with fentanyl bolusesOTHER

Patients will receive general anesthesia with Fentanyl boluses of 0.5 mcg.Kg-1 given to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1

Regional blockPROCEDURE

Patients will receive trans-oral bilateral sphenopalatine ganglion block and trans-oral bilateral infraorbital nerve block.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologists (ASA) physical status I-II * Scheduled for elective septo-rhinoplasty surgery Exclusion Criteria: * Patients with hypertension or coronary artery disease, * Patients with renal, hepatic or cerebral insufficiency, * Patients with coagulopathy or receiving drugs influencing blood coagulation, * Patients with known sensitivity to any of the study drug

Locations (1)

Ain Shams University

Cairo, Egypt

Outcomes

Primary Outcomes

Hypotensive anesthesia

Measurement of Mean arterial blood pressure

Time frame: Intraoperative

Requirements of Fentanyl

Assessment of intraoperative fentanyl doses of \[Fentanyl boluses of 0.5 mcg.Kg-1 will be given to maintain mean arterial pressure (MAP) between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1\]

Time frame: Intraoperative

Secondary Outcomes

Average category scale (ACS)

The surgeon will be asked, at the end of surgery, to assess bleeding in the surgical field using the average category scale 0-5 scale where \[0=No bleeding and5=Severe bleeding\]

Time frame: Intraoperative

Data from ClinicalTrials.gov

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