Anesthesia
Conditions
Keywords
septorhinoplasty, TIVA (total intravenous anesthesia), TCI (target controlled infusion)
Brief summary
Septorhinoplasty is a surgical technique that can be used to correct various nasal deformities.Total intravenous anesthesia (TIVA) is a frequently preferred method as an anesthesia technique in septorhinoplasty surgeries.It has been reported that TIVA reduces the incidence of postoperative nausea and vomiting, is more successful in acute postoperative pain control compared to inhalational anesthesia, provides more stable hemodynamics, provides quicker awakening after anesthesia, is more effective in preventing recovery agitation and cough, and is effective in controlled hypotension.
Interventions
It is a general anesthesia technique performed through a combination of intravenous agents administered intravenously by various methods.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 18-65 years with American Society of Anesthesiology (ASA) physical status I-II who will undergo Septorhinoplasty Surgery under general anesthesia will be included in the study.
Exclusion criteria
Patients who do not agree to participate in the study Patients under 18 and over 65 Patients with ASA score III and above Clinical diagnosis of neuropsychiatric disorders Those with a history of chronic NSAID, tranquilizer, opioid or sleeping pill use Clinical diagnosis of Serious cardiac diseases Clinical diagnosis of central-autonomic nervous system disease Clinical diagnosis of Coagulopathy Those with soybean oil allergy and a history of allergy to any study drug BMI \>30 kg m2, pregnancy breastfeeding patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative recovery | at postoperative 6 hours and 24 hours | Postoperative recovery will evaluate with quality of recovery-40 questionnaire. quality of recovery-40 scores range from 40 (extremely poor quality of recovery) to 200 (excellent quality of recovery). |
| agitation during emergence | Postoperative 0 and 15. Minutes at the recovery room | Agitation will evaluate with richmond sedation agitation scale. The richmond sedation agitation scale is a 10-point scale ranging from -5 to +4. Levels -1 to -5 denote 5 levels of sedation, starting with awakens to voice and ending with unarousable. Levels +1 to +4 describe increasing levels of agitation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| surgeon satisfaction | at the end of surgery | 5-point Likert Scale |
| postoperative pain | at the end of the surgery | Numeric Rating Scale at the PACU |
| nausea and vomiting | Postoperative 0 hours at recovery room | 4-point Likert Scale |
Countries
Turkey (Türkiye)