Nerve Block, Pain Management, Ultrasound
Conditions
Brief summary
Analgesia following tympanomastoid surgery is critical for the prevention of postoperative . There are very few regional anesthesia methods used to achieve this goal.
Detailed description
In this study, it was aimed to investigate the effect of Ultrasound guided superficial cervical plexus block versus greater auricular nerve block for on postoperative tympanomastoid surgery analgesia.
Interventions
Tramadol infusion (PCA): 400 mg tramadol, IV 4 mg/mL tramadol solution into 100 mL normal saline; PCA settings: 0.3 mg/kg bolus, 10 mg Demand dose and 20 min lock out interval, six-hour limit infusion to attain 100 mg. Maximum daily dose was set at 400 mg.
ultrasound guided superficial cervical plexus blockage with 10 ml % 0.25 bupivacaine
DRUGultrasound guided Great Auricular nerve block
ultrasound guided Great Auricular nerve blockage with 5 ml % 0.25 bupivacaine +IV patient-controlled analgesia (PCA) tramadol
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
prospective,randomized,single blind
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients who were in the American Society of Anesthesiologists (ASA) I-III class and underwent Tympanomastoid surgery.
Exclusion criteria
* Previous history of opioid use preoperatively, * Allergy to local anesthetics, * The presence of any systemic infection, * Uncontrolled arterial hypertension, * Uncontrolled diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Pain Scale | Postoperative 24 hours | Visual Analog Pain Scale was used for pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tramadol consumption | Postoperative 24 hour | tramadol consumption |
| side effect profile | Postoperative 24 hour | side effect profile (including nausea and vomiting, hypotension,requirement and the Ramsay Sedation Scale (RSS) scores) |
| additional analgesic use | Postoperative 24 hour | additional analgesic use |
Outcome results
None listed