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Comparing of nasal packing DEX and IV DEX for controlling the intraoperative bleeding after turbinate surgery.
Dexmedetomidine (DEX) is a highly selective α2 adreno-receptor agonist with higher affinity to a2 adreno-receptor than clonidine, and this makes DEX primarily sedative and anxiolytic. The elimination half-life of DEX (t1/2b) is 2 h and the redistribution half-life (t1/2a) is 6 min, and this short half-life makes it an ideal drug for intravenous titration. Potentially desirable effects include decreased requirements for other anesthetics and analgesics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group NP (nasal packing Dexmedetomidine) | Active Comparator | Patients will receive nasal packing Dexmedetomidine (1.5 μg/kg intranasal dexmedetomidine diluted with saline) and Intravenous infusion saline. |
|
| Group IV (Intravenous Dexmedetomidine) | Active Comparator | Patients will receive 0.5 μg/kg bolus over 10 min then 0.1- 0.4 μg/kg IV infusion Dexmedetomidine and nasal packing with saline. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasal packing Dexmedetomidine | Drug | patients will receive nasal packing Dexmedetomidine (1.5 μg/kg intranasal dexmedetomidine diluted with saline) and Intravenous infusion saline. |
| Measure | Description | Time Frame |
|---|---|---|
| Amount of intraoperative blood loss | Measuring the volume of suctioned blood in graduated columns, which will contain an anticoagulant to prevent coagulation and clotting and weighing gauze sponges. | Intraoperative up to 6hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Visual analogue scale (VAS) (0, no discomfort and no pain; 10, a high level of discomfort and maximum pain) | 24 hours postoperative |
| Quality of intraoperative surgical field | Quality of intraoperative surgical field during after turbinate surgery will be evaluated by the surgeons by rating the amount of bleeding according to a 6-point scale by Formmer's scores of surgical field quality (0= no bleeding; 1= bleeding, so mild it was not even a surgical nuisance; 2= moderate bleeding, a nuisance but without interference; 3= moderate bleeding that moderately compromised surgical; 4= bleeding, heavy but controllable, that significantly interfered; 5= massive uncontrollable bleeding) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karelsheikh University Hospital | Kafr ash Shaykh | Karelsheikh | 33516 | Egypt |
The data will be available upon reasonable request from the corresponding author for one year after study completion.
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| Intravenous Dexmedetomidine | Drug | patients will receive 0.5 μg/kg bolus over 10 min then 0.1- 0.4 μg/kg Intravenous infusion Dexmedetomidine and nasal packing with saline. |
|
| Intraoperative up to 6hours |
| Patient's general satisfaction | Patients' satisfaction will be measured immediately postoperative and using a five-point Likert scale consisting of "very dissatisfied," "dissatisfied," "unsure," "satisfied," and "very satisfied. | 24 hours postoperative |