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Efficacy of Ivabradine Versus Propranolol Premedication During Hypotensive Anesthesia in Endoscopic Sinus Surgery
50 Patients, aged from 18 to 39 years, ASA physical status I and II, undergoing endoscopic sinus surgery will be enrolled in the study.The patients will be randomly allocated by simple randomization using a computer programme into two groups by closed envelope technique (having 25 patients in each group): GROUP (P): will receive oral propranolol (INDERAL® -propranolol hydrochloride Ph. Eur. 10mg manufactured by AstraZeneca Egypt under license of AstraZeneca UK), 10 mg one tablet at 8:00 pm in the evening before the day of the surgery and one 10 mg tablet one hour before the induction of anesthesia. GROUP (I): will receive oral ivabradine (Procoralan® 5mg manufactured by Servier laboratories, France), 5 mg one tablet at 8:00 pm in the evening before the day of the surgery and one 5 mg tablet one hour before the induction of anesthesia.
Details
| Lead sponsor | Alexandria University |
|---|---|
| Phase | NA |
| Status | UNKNOWN |
| Enrolment | 50 |
| Start date | 2019-12-11 |
| Completion | 2020-05 |
Conditions
- Ivabradine
- Propranolol
- Hypotensive Anesthesia
Interventions
- Ivabradine
- Propranolol
Primary outcomes
- Hemodynamic changes : — Baseline before induction of anesthesia. - Every 30 min throughout deliberate hypotension till termination of NTG infusion. - 5 minutes after the end of deliberate hypote
Mean arterial blood pressure (MABP) in mmHg by invasive monitoring using GE monitor . • Heart rate: (beats / minute - amount of Blood loss — the procedure time
Intraoperative bleeding
Countries
Egypt