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Septorhinoplasty is a surgical technique that can be used to correct various nasal deformities.Total intravenous anesthesia (TIVA) is a frequently preferred method as an anesthesia technique in septorhinoplasty surgeries.It has been reported that TIVA reduces the incidence of postoperative nausea and vomiting, is more successful in acute postoperative pain control compared to inhalational anesthesia, provides more stable hemodynamics, provides quicker awakening after anesthesia, is more effective in preventing recovery agitation and cough, and is effective in controlled hypotension.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TCI (target controlled infusion) | Patients in the TCI group will be anesthetized using the infusion method that selects the target area of effect of propofol and remifentanil. |
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| MCI (manuel controlled infusion) | Patients in the MCI group will be administered propofol and remifentanil as an infusion based on the anesthesiologist's observations. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Total Intravenous Anesthesia | Procedure | It is a general anesthesia technique performed through a combination of intravenous agents administered intravenously by various methods. |
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| Measure | Description | Time Frame |
|---|---|---|
| postoperative recovery | Postoperative recovery will evaluate with quality of recovery-40 questionnaire. quality of recovery-40 scores range from 40 (extremely poor quality of recovery) to 200 (excellent quality of recovery). | at postoperative 6 hours and 24 hours |
| agitation during emergence | Agitation will evaluate with richmond sedation agitation scale. The richmond sedation agitation scale is a 10-point scale ranging from -5 to +4. Levels -1 to -5 denote 5 levels of sedation, starting with "awakens to voice" and ending with "unarousable." Levels +1 to +4 describe increasing levels of agitation. | Postoperative 0 and 15. Minutes at the recovery room |
| Measure | Description | Time Frame |
|---|---|---|
| surgeon satisfaction | 5-point Likert Scale | at the end of surgery |
| postoperative pain | Numeric Rating Scale at the PACU | at the end of the surgery |
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Inclusion Criteria:
Exclusion Criteria:
Patients who do not agree to participate in the study Patients under 18 and over 65 Patients with ASA score III and above Clinical diagnosis of neuropsychiatric disorders Those with a history of chronic NSAID, tranquilizer, opioid or sleeping pill use Clinical diagnosis of Serious cardiac diseases Clinical diagnosis of central-autonomic nervous system disease Clinical diagnosis of Coagulopathy Those with soybean oil allergy and a history of allergy to any study drug BMI >30 kg m2, pregnancy breastfeeding patients
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Patients aged 18-65 years with American Society of Anesthesiology (ASA) physical status I-II who will undergo Septorhinoplasty Surgery under general anesthesia
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zonguladk Bulent ecevit University | Zonguldak | Kozlu | 67600 | Turkey (Türkiye) | ||
| Bulent Ecevit University |
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| nausea and vomiting | 4-point Likert Scale | Postoperative 0 hours at recovery room |
| Zonguldak |
| Zonguldak Province |
| 67600 |
| Turkey (Türkiye) |