Advanced Multimodal Anesthesia Care for Patients Undergoing Oro-maxillofacial Surgery

Kaohsiung Medical University

Status: Invitation-only

Conditions: Orthognathic Surgery

Study type: Observational

Funder types: Other

Identifiers

NCT05485246

KMUHIRB-F(I)-20210211

Details and patient eligibility

About

The purpose of this research is to develop from enhanced multimodal anesthesia care to verify and optimize ERAS strategies for orthognathic surgery. If the elements of anesthesia care can be accurately controlled, the harmful pressure factors caused by surgery can be minimized and the patients undergoing facial surgery can be improved.

Full description

Orthognathic surgery (Orthognathic surgery) is currently one of the most commonly performed surgical items in oral and maxillofacial surgery because it corrects facial deformities, improves teeth chewing and face glowing. In general, the kind of operations are performed under nasotracheal intubating general anesthesia.

Due to the patients were required for motionless, low pressure, controlled ventilation, and adequate analgesia during anesthesia undergoing orthognathic surgery, advanced multimodal anesthesia care developing to the Enhanced Recovery After surgery (ERAS) should be conducted under patient safety. The ERAS concept emphasizes the importance of clinical multidisciplinary teamwork cooperation including of oro-surgeon, anesthesiologist, operating and post-anesthesia care nurses. The core elements of ERAS lies in the management of the entire peri-operative period of anesthesia. In clinical practice, focus on entire anesthesia care during the operation includes of precise anesthesia depth, adequate muscle relaxation, multiple modes of pain controlled and adequate analgesia, stable body temperature maintenance, use of goal-oriented infusion therapy, early extubation, and prevention of postoperative nausea and vomiting.

Enrollment: 80 estimated patients

Sex: All

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• America society anesthesiologist classification class I to III patients undergoing oro-maxillo-facial surgery
• unlimited mouth opening
• nasotracheal intubation general anesthesia for at least 120 minutes.

Exclusion criteria

• patients with arthritis with limited mouth opening
• diabetes with insulin treatment
• essential hypertension without controlled
• past history of malignant hyperthermia or personal or family history
• persistent liver dysfunction
• chronic renal insufficiency
• body mass index ≧35 kg/m2.