Cancer Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.All patients between 18 and 75 years. 2. American Society of Anesthesiologists physical status (ASA) I and II. 3. patients scheduled for elective maxillofacial cancer surgery requiring unilateral mandibular resection.
Exclusion criteria
Exclusion criteria: 1.Patients with surgery involving upper alveolar/ maxillary resection. 2. with body mass index (BMI) below 18 kg/m2 and above 30 kg/m2. 3. ongoing opioid therapy, known allergy to any of the studied drug. 4. pregnant women. 5. Patients unable to give valid consent or with neurological disorders. 6. patients with uncontrolled hemodynamic status (baseline BP above 160/90 mmHg and baseline HR above 100 per minute).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of postoperative rebound pain of any severity (Numerical pain scale (NRS) >0 on a 0 - 10 scale) in unilateral mandibulectomy cancer surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Postoperative 24-h morphine consumption (mg) 2. The amount of fentanyl used during mandibulectomy resection. 3. HR, SpO2 and mean arterial BP . 4. Time to first rescue analgesia (duration of analgesia) 5. Incidence of postoperative nausea and vomiting. 6. Duration of surgery in minutes. 7. Incidence of intraoperative complications (none, bleeding, technical issues). . Postoperative 24-h morphine consumption (mg) | — |
Countries
Egypt
Contacts
Lecturer of Anesthesia