Anesthetic Approaches for Dacryocystorhinostomy Surgery: The Effect of Adding Local Anesthesia to General Inhalational Anesthesia

Zagazig University

Status: Enrolling

Conditions: Effects of; Anesthesia, Local,Pain,in DISE

Treatments: Procedure: Combination of General anesthesia and local anesthesia in dacryocystorhinostomy surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT04300595

local anesthesia in DCR

Details and patient eligibility

About

To Study the effect of combination of of general anesthesia and local anesthesia in anesthesia for external dacryocystorhinostomy and assess quality of the procedure

Full description

• calculate the total requirement for anaesthetic agents to maintain satisfactory operating conditions
• calculate total anesthetic time
• assess intraoperative changes in hemodynamics
• assess intraoperative blood loss
• evaluate surgeon and patient satisfaction
• recognize whether this was related with changes in postoperative analgesia .
• Also occurrence of postoperative nausea was recorded and compared with general anaesthesia combined with intravenous opioid for (EXT-DCR) surgery.

Enrollment: 24 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:• Age from 20 to 50 years old.

• American society of anesthesiologists (ASA) physical status I or II.
• Elective unilateral Dacryocystorhinostomy with paranasal skin incision.

Exclusion Criteria:

• Endoscopic Dacryocystorhinostomy.
• Allergy to amide local anesthetics or opioids.
• Drug abuse.
• Pregnancy.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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24 participants in 2 patient groups

general anesthesia (Group G)

Active Comparator group

Description:

Patients receive general anesthesia with intravenous opioids and local infiltration of saline (Group G)

Treatment:

Procedure: Combination of General anesthesia and local anesthesia in dacryocystorhinostomy surgery

Local anesthesia (Group L)

Active Comparator group

Description:

Patients receive general anesthesia with intravenous saline and local infiltration of a mixture of lidocaine/epinephrine (Group L).

Treatment:

Procedure: Combination of General anesthesia and local anesthesia in dacryocystorhinostomy surgery