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Pharyngeal packing on perioperative gastric volume in nasal surgery

Ultrasound assessment of the effect of pharyngeal packing on perioperative gastric volume in nasal surgery

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619000487112
Enrollment
88
Registered
2019-03-25
Start date
2017-02-01
Completion date
2018-02-01
Last updated
2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

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 induc

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

Bagcilar Training and Research Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

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.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 21, 2026