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Our aim in this treatment was to reveal the effects of remifentanil and dexmetomidine, which we used to provide controlled hypotension in septorhinoplasty surgery, on cardiac electrophysiology. We planned to compare the patients by recording preoperative and postoperative ECGs. We also planned to record the patients' intraoperative blood pressure, saturation, and pulse rate, rickeragitation scale, and vas score.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Effects of Dexmetomidine | Active Comparator | Patients in this group will be given dexmedetomidine infusion during the intraoperative period to provide controlled hypotension. |
|
| Effects of Remifentanil | Active Comparator | Patients in this group will be given remifentanil infusion during the intraoperative period to provide controlled hypotension. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexmedetomidine | Drug | After the induction of general anesthesia, one group (Group: 1) will be administered dexmedotomidin infizyon and group (Group :2)remifentanil |
|
| Measure | Description | Time Frame |
|---|---|---|
| iceb | Qt\Qrs | preoperative and postoperative (immediatly after extubation) |
| Measure | Description | Time Frame |
|---|---|---|
| Riker Agitation Scale | 7 -Dangerous Agitation, 6 - Very Agitated, 5 - Agitated, 4 - Calm and Cooperative, 3 - sedated, 2- Very Sedated, 1 -Unarousable | Immediately after extubation |
| mean arterial pressure |
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Inclusion Criteria:
Exclusion Criteria:
Patients aged <17 and >45 years, patients with liver and/or kidney failure, obese patients (BMI >30), trauma patients, ASA II-III-IV patients, patients with bleeding disorders, those using drugs that may affect the coagulation system, patients with cardiomyopathy, cerebrovascular disease, immobility, and malnutrition were excluded from the study.
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| Remifentanil | Drug | Remifentanil |
|
mmHg
| when you come to the operating room table after anesthesia induction Intraoperative 30 minutes after extubasion |
| heart rate | beats\minute | when you come to the operating room table after anesthesia induction Intraoperative 30 minutes after extubasion |
| Numeric Rating Scale | They will be numbered from 1 to 10. 1 mildest 10 most severe pain | Postoperative 0-2 hours |
| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| D000077208 | Remifentanil |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011422 | Propionates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010880 | Piperidines |
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