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The aim of this study to evaluate efficacy of ultrasound guided regional anesthesia in performing awake tympanoplasty surgery versus traditional general anesthesia
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound-guided regional anesthesia group | Active Comparator | patients will receive regional anesthesia using ultrasound guidance. Target nerves (e.g., great auricular nerve, auriculotemporal nerve and lesser occipital nerve) will be identified and anesthetized under real-time ultrasound visualization to ensure accurate needle placement and local anesthetic spread. |
|
| Control group | Sham Comparator | patients will receive general anesthesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-guided regional anesthesia group | Procedure | patients will receive regional anesthesia using ultrasound guidance. Target nerves (e.g., great auricular nerve, auriculotemporal nerve and lesser occipital nerve) will be identified and anesthetized under real-time ultrasound visualization to ensure accurate needle placement and local anesthetic spread. |
| Measure | Description | Time Frame |
|---|---|---|
| The time of discharge from Post Anesthesia Care Unit (PACU) | The time from arrival to the Post Anesthesia Care Unit (PACU) to the time to discharge to the ward according to modified aldrete score | 2 hours postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative mean arterial blood pressure | Intraoperative changes in mean arterial blood pressure (mmHg) | 0 minute (basal) and every 5 minutes up to 2 hours |
| Pain intensity by using Numerical Rating Scale (NRS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dina Salem, MD | Contact | 0109933513 | 002 | dinamaghraby@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of human medicine, Zagazig university hospitals | Recruiting | Zagazig | Egypt |
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To evaluate ultrasound-guided regional anesthesia versus general anesthesia in patients undergoing tympanoplasty
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| Control group | Other | patients will receive general anesthesia. |
|
It is a scale from 0 to 10, where 0=no pain and 10= worst pain
| Post Anesthesia Care Unit (0 hour) , 2 hours, 4 hours, 8 hours, 12 hours and 24 hours |
| Block success rate | The number of patients converted to general anesthesia | 15-20 minutes (from finishing block till start surgery) |
| Quality of surgical field | quality of surgical field by Modena Bleeding Score (MBS) is a validated categorical scale designed to measure the quality of the surgical field in relation to bleeding during endoscopic surgery. It features five grades (1= no bleeding, 2= bleeding easily controlled by suction, 3= bleeding that slows surgical procedure, 4= most maneuvers are dedicated to bleeding control and 5= bleeding is so sever that only procedures aimed at controlling bleeding) | duration of surgery (intraoperative) |
| Time to first request of analgesia | Time to first request of analgesia (pethidine) | 24 hours |
| Total postoperative analgesic consumption | total postoperative pethidine consumption | 24 hours |
| Patient satisfaction by Likert score | patient satisfaction by Likert score: The patients will be asked to rate the overall degree of satisfaction of the analgesia by using a 5-points Likert-like verbal scale (1 = very dissatisfied analgesia, 2 = dissatisfied analgesia, and 3 = neutral, 4=satisfied analgesia, and 5=very satisfied analgesia) | 24 hours |
| Surgeon satisfaction | Surgeon satisfaction by asking the surgeon to rate satisfaction at the end of surgery (4 =excellent, 3=good, 2=fair, 1=poor, 0=extremely poor) | duration of surgery (intraoperative) |
| The incidence of block-related complications or surgery related complications | To assess the incidence of block-related complications, such as nerve injury, hematoma, inadequate block, or local anesthetic toxicity or surgery related complications (e.g. nausea and vomiting) | 24 hours |
| Intraoperative heart rate ( beat per minute) | measure intraoperative changes in heart rate | before starting anesthesia 0 minute (basal )and every 5 minutes up to 2 hours |
| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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