The Effect of Bilateral Infraorbital+ Infratrochlear Nerve Block for Rhinoplasty Operations
Study Details
Study Description
Brief Summary
The aim of our study is to examine the effect of bilateral infraorbital and infratrochlear nerve blocks for rhinoplasty operations on perioperative remifentanil need and postoperative pain scores.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Rhinoplasty operations are one of the most applied cosmetic surgeries in the world.
Depending on the procedure type and hemodynamic lability, the quality of the surgical field, perioperative and postoperative complications as well as the success of surgery are affected.To provide improved surgical field quality, controlled hypotension and high concentrations of inhalation anesthetics, magnesium sulfate, remifentanil, clonidine, calcium channel blockers, tranexamic acid, intravenous nitroglycerin have been used.
The American Society of Anesthesiology recommends using regional anesthesia methods and administering multimodal analgesia in every possible surgery. In our study we have performed bilaterral infraorbital an infratrochlear nerve blocks which are main nerves of the nose, for the patients of rhinoplasty. With blocking the infratrochlear and infraorbital nerves we will examine the need for remifentanil during surgery, postoperative pain scores.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: bilateral infraorbital+infratrochlear block group For this group we will perform bilateral infraorbital+infratrochlear block before surgery |
Other: bilateral infraorbital+infratrochlear block
we will perform bilateral infraorbital+infratrochlear nerve block
|
| No Intervention: non-block group For this group we will start the surgery without performing a block |
Outcome Measures
Primary Outcome Measures
- Remifentanil consumption [6 hours]
We will compare the remifentanil consumption for the block performed and non-block group
Secondary Outcome Measures
- Surgical bleeding grading [6 hours]
We will compare the surgical bleeding scores for the block performed and non-block group
- Richmond agitation sedation scale [6 hours]
We will compare the Richmond agitation sedation scale for the block performed and non-block group
- Numeric rating Scale [6 hours]
We will compare the numeric rating scale for pain for the block performed and non-block group
- Post-operative nausea and vomiting [6 hours]
We will compare the Post-operative nausea and vomiting for the block performed and non-block group
- Need for analgesic after surgery [6 hours]
We will compare the Need for analgesic after surgery for the block performed and non-block group
Eligibility Criteria
Criteria
Inclusion Criteria:
Patients undergoing rhinoplasty surgery
Exclusion Criteria:
-
Bleeding disorder
-
Patient refusal
-
Age under 18
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Istanbul University, Department of Anesthesiology | Istanbul | Turkey | 34093 |
Sponsors and Collaborators
- Istanbul University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Boselli E, Bouvet L, Augris-Mathieu C, Begou G, Diot-Junique N, Rahali N, Vertu-Ciolino D, Gerard C, Pivot C, Disant F, Allaouchiche B. Infraorbital and infratrochlear nerve blocks combined with general anaesthesia for outpatient rhinoseptoplasty: A prospective randomised, double-blind, placebo-controlled study. Anaesth Crit Care Pain Med. 2016 Feb;35(1):31-36. doi: 10.1016/j.accpm.2015.09.002. Epub 2015 Nov 5.
- Choi H, Jung SH, Hong JM, Joo YH, Kim Y, Hong SH. Effects of Bilateral Infraorbital and Infratrochlear Nerve Block on Emergence Agitation after Septorhinoplasty: A Randomized Controlled Trial. J Clin Med. 2019 May 30;8(6):769. doi: 10.3390/jcm8060769.
- 2022/1852