The primary aim of the study was to test the hypothesis that remifentanil administered for analgesia prevents emergence agitation more effectively than fentanyl and N2O in patients undergoing rhinoplasty who received desflurane as an inhaled anesthetic agent. The secondary aim of the study was to compare the demographic data, intraoperative and postoperative hemodynamic data, surgical time and modified Aldrete score of patients who received different intraoperative analgesia methods.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
99
remifentanil infusion
Use of N2O for analgesia
Use of Fentanylfor analgesia
Health Sciences University Gazi Yaşargil Training and Research Hospital
Diyarbakır, Kayapınar, Turkey (Türkiye)
RECRUITINGRichmond Agitation-Sedation Scale (RASS)
* 4 Combative, violent, danger to staff * 3 Pulls or removes tube(s) or catheters; aggressive * 2 Frequent non-purposeful movement, fights ventilator * 1 Anxious, apprehensive, but not aggressive 0 Alert and calm * 1 Awakens to voice (eye opening/contact) \> 10 seconds * 2 Light sedation; briefly awakens to voice (eye opening/contant) \< 10 seconds * 3 Moderate sedation; movement or eye opening. No eye contact * 4 Deep sedation; no response to voice, but movement or eye opening to physical stimulation * 5 Unarousable; no response to voice or physical stimulation
Time frame: Postoperative care unit 1.second_5. second_15.second
mean arterial pressure
mmHg
Time frame: Before induction ,After intubation 1 min,After intubation 5 min, After intubation 15 min After intubation 30 min
Heart rate
beats/min
Time frame: Before induction ,After intubation 1 min,After intubation 5 min, After intubation 15 min After intubation 30 min
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