Outpatient Rhinoplasty
Conditions
Keywords
facial block, levobupivacaine, regional anesthesia, rhinoplasty, outpatient
Brief summary
A bilateral facial block (infraorbital and infratrochlear) will be performed immediately after intubation in patients undergoing outpatient rhinoplasty with 2.5% levobupivacaine (intervention group) or saline as control. Intravenous saline or morphine will be administered at the end of surgery in intervention or control groups, respectively. In case of pain in post-anesthesia care unit (numerical pain score \>3 on a 0-10 scale), both groups will receive intravenous morphine titration. The total perioperative morphine consumption (intraoperative and in post-anesthesia care unit) will be compared between groups. Pain intensity, presence of nausea/vomiting and patient's satisfaction will be compared between groups.
Interventions
Bilateral facial block (infraorbital and infratrochlear) after general anesthesia before surgery with intravenous placebo or bilateral block with placebo and intravenous morphine
Sponsors
Study design
Eligibility
Inclusion criteria
* Outpatient rhinoplasty * American Society of Anesthesiologists (ASA) classification I-II * Affiliated to Social Security * Written informed consent
Exclusion criteria
* Allergy to levobupivacaine * Incapacity to give consent * Chronic pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total morphine consumption during the perioperative period (operating theater and post-anesthesia care unit) | J0 | At the end of post-anesthesia care unit stay |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity in post-anesthesia care unit | J0 (At arrival in post-operative care unit) | 0-10 numerical rating scale (NRS) : from 0 = no pain to 10 = worst pain imaginable |
| Postoperative nausea and vomiting | J1 (At day 1 after surgery) | Presence or absence of nausea/vomiting |
| Patient satisfaction at day 1 | J1 (At day 1 after surgery) | 0-3 scale (0 = bad, 1 = poor, 2 = good, 3 = excellent) |
Countries
France