Regional Block of the Nose for Hypotensive Anaesthesia in Septo-rhinoplasty

Ain Shams University

Status: Unknown

Conditions: Hypotensive Anesthesia

Treatments: Other: General anesthesia with fentanyl boluses; Procedure: Regional block

Study type: Interventional

Funder types: Other

Identifiers

NCT03774693

FMASU R66/2018

Details and patient eligibility

About

Septorhinoplasty is a cosmetic surgery that many people are choosing to undergo. It can be done under general anesthesia, twilight anesthesia or regional anesthesia. Controlled hypotensive anesthesia is required to minimize bruising, swelling, and bleeding that reduces visibility in the operative field and hence satisfactory surgical outcome.

The goal of our study to prove that regional block of the nose provides efficient hypotensive anesthesia

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) physical status I-II
• Scheduled for elective septo-rhinoplasty surgery

Exclusion criteria

• Patients with hypertension or coronary artery disease,
• Patients with renal, hepatic or cerebral insufficiency,
• Patients with coagulopathy or receiving drugs influencing blood coagulation,
• Patients with known sensitivity to any of the study drug

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

GS [General anesthesia]

Active Comparator group

Description:

Patients will receive general anesthesia with Fentanyl boluses of 0.5 mcg.Kg-1 given to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.

Treatment:

Other: General anesthesia with fentanyl boluses

GR [General anesthesia + regional block]

Active Comparator group

Description:

Patients will receive general anesthesia with Fentanyl boluses of 0.5 mcg.Kg-1 given to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1. Also patients will receive trans-oral bilateral sphenopalatine ganglion block and trans-oral bilateral infraorbital nerve block. Fentanyl boluses of 0.5 mcg.Kg-1 will be given when needed to maintain MAP between 55-65 mmHg with a maximum dose of 3 mcg.Kg-1.

Treatment:

Procedure: Regional block

Other: General anesthesia with fentanyl boluses