Anesthesia
Conditions
Brief summary
To assess the effect of iliohypogastric and ilioinguinal nerve block on the hemodynamic stability ,narcotic consumption and the rate of conversion to general anesthesia in patients undergoing transfemoral transcatheter aortic valve implantation (TF-TAVI).
Interventions
local infiltration by lidocaine in the surgical site
44patients will receive bupivacaine in ilioinguinal & iliohypogastric nerve blocks
Sponsors
Study design
Eligibility
Inclusion criteria
* • Patients undergoing TF-TAVI. * Both sexes. * Age 18 and above
Exclusion criteria
* • Inability to tolerate supine position as in patients with musculoskeletal disease or back pain, OR in patients with congestive heart failure or with obstructive sleep apnea. * Patients with severe pulmonary hypertension (PAP\>60 mmhg) * Barrier to communications as language barrier or dementia. * Patients' preference of general anesthesia. * Surgical consideration as transapical, subclavian approach, extensive TEE requirements. * Patients with history of allergy to any drugs used. * Patients with psychiatric disease. * Patients with neurocognitive or neurodegenerative disease. * Secondary
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| conversion to general anesthesia. | during the procedure (intraoperatively) | Conversion to general anesthesia in other than procedure related causes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| propofol dose | during the procedure (intraoperatively) | Total dose of propofol per hour (0.025-0.075 mg /kg/min) |
| fentanyl dose | during the procedure (intraoperatively) | total dose of fentanyl 1-2 microgram / kg |
| sedation score | during the procedure (intraoperatively) | sedation score intraoperatively |
Countries
Egypt