Emergence Agitation
Conditions
Brief summary
nasal surgery carries many perioperative challenges, intraoperative bleeing and its effect on surgical field i the main intraoperative concern an postoperative agitation and its serious complications is the main postoperative challenge.
Interventions
1.5 ml of Bupivacaine 0.5% Preservative-Free Injectable Solution used to block the sphenopalatine ganglion by ultrasound guided suprazygomatic approach
1.5 ml of normal saline is delivered to the sphenopalatine ganglion by ultrasound guided suprazygomatic approach
Sponsors
Study design
Eligibility
Inclusion criteria
* patient written consent * elective surgery * age 18 - 55 year old
Exclusion criteria
* patient refusal * emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative emergence agitation | 2 hour | ramsy hunt sedation agitation score used during emergence from anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative opioid consumption | 24 hour | total amount of opioid analgesia in first 24 hours postoperative |
| surgical field quality | 2 hours | Boezaart score was be used |
| consumed inhalational anesthesia | 2 hours | mean anesthesia MAC intraoperative |
| postoperative pain | 2 hours | using VAS ; scale from 0 to 10 . where 0 is no pain and 10 is worst pain |
Other
| Measure | Time frame | Description |
|---|---|---|
| intraoperative bleeding | 2 hours | suction and weight of surgical gauze used was measured and calculated |
Countries
Egypt