Emergence agitation (EA) is common after nasal surgery under general anesthesia, which can lead to several problems, such as increased risk of injury to the patient or medical staff, pain, decreased patient satisfaction, hemorrhage, re-bleeding at the operation site and unplanned self-extubation. Melatonin is an oral or sublingual medication, most commonly used for insomnia and improving sleep in different conditions for example shift-work disorder and for helping people to establish a day and night cycle especially blind children or adults. Mirtazapine is an antidepressant used in medicine in a pill form, most commonly used for major depressive disorder and other mood disorders, relief of anxiety, panic disorders, insomnia, headache and migraine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
165
Every patient will be given mirtazapine 30 mg tablet
Every patient will be given melatonin 5 mg tablet
Every patient will be given a matching placebo tablet
Ain-Shams University Hospitals
Cairo, Egypt
Total number of patients with the Riker sedation-agitation score ≥5
Total number of patients with the Riker sedation-agitation score ≥5
Time frame: 24 hours postoperatively
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