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compare effect of IV dexmedetomidine and ketamine on pain score, perioperative hemodynamics and detect side effects of dexmedetomidine and ketamine.
Microlaryngeal surgery is a common surgical procedure now a days which is associated with many complications such as postoperative pain, airway edema and persistent cough
. the study is to compare the effect of IV dexmedetomidine and ketamine on pain score, perioperative hemodynamics and to detect side effects of dexmedetomidine and ketamine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexmedetomidine | Experimental | 1.0mcg/kg of dexmedetomidineloading dose before induction then 0.5 mcg/kg/hr of infused till end of surgery |
|
| Ketamine | Experimental | 0.25 mg/kg/hr ketamine infused till end of surgery |
|
| Control | Active Comparator | saline before induction infusion till end of surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexmedetomidine | Drug | IV dexmedetomidine |
| |
| Ketamine |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of postoperative sore throat | incidence of postoperative sore throat | 30 minutes postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Ramsey sedation score | Ramsey sedation score RSS (1 to 6) | 1hour postoperative |
| postoperative cough incidence | postoperative cough incidence |
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Inclusion Criteria:
Exclusion Criteria:
CVdiseases as IHD and severe valvular disease.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of medicine Cairo university | Cairo | Egypt |
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| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| D007649 | Ketamine |
| D012965 | Sodium Chloride |
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Drug |
IV ketamine |
|
| Saline (control group) | Drug | no drugs |
|
|
| 1hour postoperative |
| incidence of complications | incidence of complications | 1hour postoperative |
| Heart Rate | Heart Rate | 1hour postoperative |
| Mean Arterial Pressure | Mean Arterial Pressure | 1hour postoperative |
| oxygen saturation | oxygen saturation | 1hour postoperative |
| D003510 |
| Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |