patients aged 18-65 years, ASA physical status 1-3 scheduled for elective endoscopic transsphenoidal surgery for pituitary tumor under general anesthesia in Ramathibodi hospital lidocaine infusion, endoscopic transphenoidal surgery, pituitary tumor,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18-65 years, ASA physical status 1-3 scheduled for elective endoscopic transsphenoidal surgery
Exclusion criteria
Exclusion criteria: 1. Patient refusal 2. Allergy to Local anesthetic drug 3. Renal insufficiency (CKD stage IV-V) 4. Hepatic failure 5. History of cardiac arrhythmias or heart block 6. Revision Surgery 7. History of seizure or epilepsy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Heart Rate T1( baseline), T2 (intubation), T3 ( LA + ADR Packing), T4( Post ADR packing 2 min), T5 (Post ADR Packing 5 min), T6 (Post ADR packing 10 min), T7 (Bone work), T8 (Op. time 1 hr), T9 (End op), T10 min,Blood Pressure ( Mean arterial Pressure) T1( baseline), T2 (intubation), T3 ( LA + ADR Packing), T4( Post ADR packing 2 min), T5 (Post ADR Packing 5 min), T6 (Post ADR packing 10 min), T7 (Bone work), T8 (Op. time 1 hr), T9 (End op), T10 mmHg,Pulse pressure variation (PPV) T1( baseline), T2 (intubation), T3 ( LA + ADR Packing), T4( Post ADR packing 2 min), T5 (Post ADR Packing 5 min), T6 (Post ADR packing 10 min), T7 (Bone work), T8 (Op. time 1 hr), T9 (End op), T10 - | — |
Secondary
| Measure | Time frame |
|---|---|
| Total fentanyl consumption end of surgery mcg,Total Lidocaine infusion dose end of surgery mg,Nicardipine dose end of surgery mg,Total Labetalol dose end of surgery mg,Total Ephedrine dose end of surgery mg,Total Levophed dose end of surgery mcg,Total atropine dose end of surgery mg,Postoperative pain score at PACU, 1 hr at PACU -,Sedation score at PACU, 1 hr at PACU Modified Ramsay scale score,PONV at PACU, 1 hr at PACU - | — |
Countries
Thailand
Contacts
Faculty of Medicine Ramathibodi Hospital, Mahidol University