None listed
Conditions
Brief summary
Pharyngeal packing (PP) is commonly performed to reduce the incidence of perioperative blood ingestion (PBI) in nasal surgery (NS), and thus the incidence and severity of postoperative nausea and vomiting (PONV). This study examined the effects of PP on the perioperative gastric volume (GV) and PONV in patients undergoing NS by ultrasound assessment.
Interventions
For each patient who will undergo nasal surgery, In the preoperative unit, preoperative ultrasonographic examination of gastric antrum will be performed, After intubation for general anesthesia, same anesthesiologist will place soft pharyngeal packs in oropharynx. Pharygeal packing is an procedure of placing woven cotton gauzes in oropharnx. After the completion of postoperative ultrasonographic evaluation, the pharyngeal packs will be removed. In two separate sessions (before anaesthesia induction and before postoperative extubation), an experienced radiologist and ananaesthesiologist will evaluate the stomach from the antrum by abdominal ultrasonography. All the procedures will execute in operating theatre.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients aged > 18 years with body mass indexes < 35 kg/m2 and American Society of Anesthesiologists physical status classification I or II underwent elective NS [septoplasty, septo-rhinoplasty and functional endoscopic sinus surgery under general anaesthesia after 8 h preoperative fasting.
Exclusion criteria
The exclusion criteria were emergent need for surgery; risk of increased residual gastric volume (GV) due to pregnancy, smoking, or diabetes; upper gastrointestinal system disease; and history of oesophageal or upper gastrointestinal surgery.