A Prospective, Randomized Clinical Trial to Evaluate Analgesic Efficacy of Bilateral Pterygopalatine Fossa Injection in Patients Undergoing Maxillofacial Cancer Surgeries Under General Anesthesia

Autor: Ekramy M Abdelghafar, Dina Nabil Abbas, Ahmed Othman, Sherif Bahaa Elddin Zayed, Ashraf Hamed Shawki
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Egyptian Journal of Anaesthesia, Vol 37, Iss 1, Pp 159-166 (2021)
Druh dokumentu: article
ISSN: 11101849
1110-1849
DOI: 10.1080/11101849.2021.1903667
Popis: ABSTRACTObjective: Evaluation of the analgesic efficacy and safety of ultrasound-guided pterygopalatine fossa (PPF) block in patients undergoing maxillofacial cancer surgeries under general anesthesia.Methods: Forty-eight patients scheduled for maxillofacial cancer surgeries enrolled in the study were randomly allocated into group (A): ultrasound-guided bilateral PPF block using local anesthetic; and group (B): ultrasound-guided bilateral PPF injection with saline. Our primary outcome was assessing postoperative analgesia using visual analog scale and the amount of nalbuphine used for rescue analgesia.We recorded the operative field’s quality, end-tidal sevoflurane concentration, the total amount of nitroglycerin used to achieve the target mean arterial pressure (MAP) of 60–65 mmHg, the frequency of propranolol usage, emergence time and Aldrete score.Results: The VAS score was significantly lower in group A than group B until the 18th postoperative hour (P
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