intraoperative opioid administration versus intraoperative pterygopalatine ganglion block based opioid free anesthesia to compare outcomes such as postoperative administration of opioid rates of nausea and vomiting, Post Anesthesia Care Unit (PACU) length of stay
Group A ;( opioid based multimodal anesthesia) One hundred and twenty pediatric patients will do elective tonsillectomy or adenotonsillectomy surgery using opioid based multimodal anesthesia. Group B ;( opioid free pterygopalatine ganglion block based multimodal anesthesia) One hundred and twenty pediatric patients will do elective tonsillectomy or adenotonsillectomy surgery using opioid free pterygopalatine ganglion block based multimodal anesthesia. For each patient, intraoperative hemodynamics, additional intraoperative analgesia required, the length of PACU stay, administration of postoperative opioids, administration of postoperative non-opioid analgesics, postoperative (visual analogue score) VAS score, will be recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
90
elective tonsillectomy or adenotonsillectomy surgery using opioid based multimodal anesthesia.
elective tonsillectomy or adenotonsillectomy surgery using opioid free pterygopalatine ganglion block based multimodal anesthesia.
Ramymahrose
Cairo, Egypt
postoperative VAS score
Time frame: EVERY HOUR AFTER SURGERY FOR 24 HOURS
TOTAL AMOUNT OF OPIOD REQUIRED POSTOPERATIVELY
Time frame: 24 HOURS AFTER SURGERY
INTRAOPERATIVE BLOOD PRESSURE
Time frame: EVERY 10 MINUTES up to 1 hour
INTRAOPERATIVE HEART RATE
Time frame: EVERY 10 MINUTES up to 1 hour
TOTAL AMOUNT OF GIVEN INTRAOPERATIVE OPIODS
Time frame: DURING SURGERY
length of PACU stay
Time frame: one day after operation
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