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| Name | Class |
|---|---|
| saeid metwaly abouelyazid elsawy | UNKNOWN |
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nasal surgery carries many perioperative challenges, intraoperative bleeing and its effect on surgical field i the main intraoperative concern an postoperative agitation and its serious complications is the main postoperative challenge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bupivacaine group | Active Comparator |
| |
| saline group | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine 0.5% Preservative-Free Injectable Solution | Drug | 1.5 ml of Bupivacaine 0.5% Preservative-Free Injectable Solution used to block the sphenopalatine ganglion by ultrasound guided suprazygomatic approach |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative emergence agitation | ramsy hunt sedation agitation score used during emergence from anesthesia | 2 hour |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative opioid consumption | total amount of opioid analgesia in first 24 hours postoperative | 24 hour |
| surgical field quality | Boezaart score was be used |
| Measure | Description | Time Frame |
|---|---|---|
| intraoperative bleeding | suction and weight of surgical gauze used was measured and calculated | 2 hours |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Asyut | 71111 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39366653 | Derived | Hamed R, Gamal L, Elsawy S, Baker MA, Abbas YH. Efficacy of ultrasound guided sphenopalatine ganglion block in management of emergence agitation after sinoscopic nasal surgery: a randomized double-blind controlled study. Anaesth Crit Care Pain Med. 2024 Dec;43(6):101429. doi: 10.1016/j.accpm.2024.101429. Epub 2024 Oct 2. |
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| ID | Term |
|---|---|
| D000071257 | Emergence Delirium |
| ID | Term |
|---|---|
| D003693 | Delirium |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| normal saline | Drug | 1.5 ml of normal saline is delivered to the sphenopalatine ganglion by ultrasound guided suprazygomatic approach |
|
| 2 hours |
| consumed inhalational anesthesia | mean anesthesia MAC intraoperative | 2 hours |
| postoperative pain | using VAS ; scale from 0 to 10 . where 0 is no pain and 10 is worst pain | 2 hours |
| D009422 |
| Nervous System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D000588 |
| Amines |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |