Surgery Deliberate Hypotension during Functional Endoscopic Sinus Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ¿ Adult patients, 20 to 45-year-old, of both genders, scheduled for elective FESS surgery. ¿ American society of anesthesiologists class (ASA) I and II patients.
Exclusion criteria
Exclusion criteria: ¿ Patient refusal. ¿ ASA class III and IV. ¿ Any known hypersensitivity or contraindication to esmolol or dexmedetomidine. ¿ Patients with bleeding diathesis, respiratory problems, liver failure, kidney insufficiency or heart diseases (heart block, or myocardial ischemia). ¿ Patient with poorly controlled arterial hypertension (blood pressure higher than 140/90 mmHg). ¿ Patients planned for redo surgery for recurrent rhinosinusitis. ¿ Patients on anticoagulant, ¿2 agonist or ¿ blocker therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ¿Total blood loss (ml) during the operation, which is collected by suction added to the estimated from nasal packing. | — |
Secondary
| Measure | Time frame |
|---|---|
| ¿ Surgeon's satisfaction score with 4 points subjective scale (18) at the end of surgery, as follows:-. ¿ 1 = Bad. ¿ 2 = Moderate. ¿ 3 = Good. ¿ 4 = Excellent. | — |
Countries
Egypt
Contacts
Lecturer of Anesthesia and Critical Care Faculty of Medicine, Menoufia University