Health Condition 1: null- All adult patients below 75 yrs, ASA I and II PS requiring maxillofacial cancer surgery requiring unilateral mandibular resection and unilateral neck dissection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: INCLUSION CRITERIA - All patients between the age of 18 and 75 yrs classified as ASA I and II physical status requiring maxillofacial cancer surgery requiring unilateral mandibular resection and unilateral neck dissection
Exclusion criteria
Exclusion criteria: EXCLUSION CRITERIA : - surgery involving upper alveolar / maxillary resection - patients with BMI below 18kg/m2 and above 30kg/m2 - allergy to local anaesthetic agent - Inability to give inferior alveolar nerve block due to any cause e.g. o restricted mouth opening o obscured landmark or infection at site - pregnant women - patients unable to give valid consent e.g. patients with learning difficulties - patients on medications for hypertension - patients with preoperative pain requiring regular pain medications - uncontrolled haemodynamic status e.g. baseline arterial blood pressure above 160 /90 and baseline HR above 100 /min
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.PRIMARY ENDPOINT â?? IV fentanyl requirement during primary tumour removal in the 2 groups Timepoint: Time of completion of primary tumour removal | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.IV fentanyl requirement during neck dissection and primary tumour removal 2.Maximum change in heart rate from baseline during primary tumour removal 3.Maximum change in blood pressure from baseline during primary tumour removal 4. Need for rescue analgesics or vasoactive agents during primary tumour removal Timepoint: 1.Time of completion of primary tumour removal 2. Time of completion of neck dissection | — |
Countries
India
Contacts
Tata Memorial Hospital