Craniotomy, Hypertension
Conditions
Keywords
craniotomy- Emergence- hypertension
Brief summary
Post-craniotomy emergence hypertension is a common phenomenon that may predispose to development of intracranial hematoma and cerebral edema.The aim of this study is to compare the safety and efficacy of Mgso4 versus lidocaine infusion for control of emergence hypertension after craniotomy.
Interventions
Magnesium sulphate 50 mg/kg over 10 minutes loading followed by 15mg/kg/hr infusion. .
lidocaine hydrochloride 1.5mg/kg loading followed by 2mg/kg/hr infusion
Normal saline infusion with the same rate of infusion as the study drugs
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status Ι or Π. * scheduled patients for brain tumor excision.
Exclusion criteria
* Hepatic, renal, cardiac, pulmonary, or endocrine impairment. * Signs of increased intracranial pressure or allergy to any of the used drugs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postcraniotomy emergence hypertension response to the study drugs | 4hours | The number of the patients who have systolic blood pressure below 140 mmH during emergence of anesthesia after craniotomy for brain tumors in each group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recovery time | 2 hours | Time till discharge from PACU |
| Incidence of side effects of the used drugs | 4 hours | measure of safety |
Countries
Egypt