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Comparison of Local Anesthesia and Induced Hypotensive Anesthesia on Quality of External Dacryocystorhinostomy Operation Under General Anesthesia
Bleeding is one of the important complications during Dacryocystorhinostomy, which dissatisfy ophthalmic surgeon, reduces surgical field visualization, and increases the duration of surgery Thus, the management of this complication is a great consideration during this operation. The aim of this study is to compare the efficacy of combined local and general anesthesia in a group of patients undergoing external dacryocystorhinostomy (DCR) operation versus the efficacy of general anesthesia with induced hypotensive anesthesia
Details
| Lead sponsor | Mansoura University |
|---|---|
| Phase | NA |
| Status | UNKNOWN |
| Enrolment | 64 |
| Start date | 2022-03 |
| Completion | 2023-03 |
Conditions
- Patient With Nasolacrimal Duct Obstruction
- External Dacryocystorhinostomy Operation
Interventions
- Bupivacaine
- Nitroglycerine
- Propofol
- Fentanyl
- Atracurium Besylate
- Mechanical ventilation
- Sevoflurane
- Lactated Ringers
- Head-up tilt
- Paracetamol
Primary outcomes
- Average category scale (ACS) — after 10 min of maintaining mean arterial blood pressure (MAP) at the desired range (55-65 mmHg)
Assessment of intraoperative blood loss and quality of surgical field by Average category scale (ACS) for assessment of intraoperative surgical field (0-5): 0 - No bleeding 1 - Slight bleeding - no suctioning of blood required 2 - Slight bleeding 3- slight bleeding required suctioning 4- moderate bleeding 5- sever bleeding
Countries
Egypt