Pain, Surgery
Conditions
Keywords
Septoplasty, Dexmedetomidine, Surgical Conditions
Brief summary
It is very important to decrease the bleeding during nasal septoplasty in order to increase the visibility of the surgical site. Our primary goal was to investigate the effects of dexmedetomidine and lidocaine plus adrenaline on visibility of surgical site and postoperative analgesic consumption.
Detailed description
Nasal septoplasty is a surgery procedure which needs to have decrease the bleeding during the surgery for the visibility of surgical site.And postoperative pain is very usual after the surgery, so an effective postoperative analgesia procedure reduces the complications and helps to be discharged earlier from the hospital. An alpha 2 agonist Dexmedetomidine has an analgesic effect and vasoconstructive effect on the periferal blood vessels. Our hypothesis was dexmedetomidine makes a better surgecal conditions during the surgery and reduce the postoperative analgesic consumption. We administered the infiltrated dexmedetomidine or lidocaine plus adrenaline to the both side of the nasal septum 10 minutes before the surgery. Bleeding scores (Fromm and Boezaart Bleeding Scores) were recorded during the surgery. And postoperative analgesic consumptions were recorded in first 24 hours after the surgery.
Interventions
2 mcg/kg dexmedetomidine was administered 10 minutes before the surgery by infiltration to the both side of the nasal septum.
10 ml 2% lidocaine was administered 10 minutes before the surgery by infiltration to the both side of the nasal septum.
12.5 mcg/ml 10 ml adrenaline was administered 10 minutes before the surgery by infiltration to the both side of the nasal septum.
Sponsors
Study design
Eligibility
Inclusion criteria
* Scheduled for the nasal septoplasty surgery * ASA 1-2 patients * 18-60 yo patients
Exclusion criteria
* Pregnant patients * ASA 3-4 patients * Under 18 yo childrens
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| surgical conditions | during the surgery | Bleeding scores were recorded during the surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic Consumption | Up to 24 hours | Analgesic consumption were recorded. |