The Effect of Bilateral Infraorbital+ Infratrochlear Nerve Block for Rhinoplasty Operations

Anesthesia, Local Clinical Trial

Official title:

The Effect of Bilateral Infraorbital+ Infratrochlear Nerve Block on Perioperative Remifentanil Consumption and Postoperative Pain Scores for Rhinoplasty Operations

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05671237
• Other study ID #: 2022/1852
• Status: Completed
• Phase: N/A
• Start date: November 11, 2022
• Est. completion date: March 1, 2023

Study information

• Verified date: June 2023
• Source: Istanbul University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: March 1, 2023
• Est. primary completion date: February 15, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

Patients undergoing rhinoplasty surgery

Exclusion Criteria:

• Bleeding disorder

• Patient refusal

• Age under 18

Related Conditions & MeSH terms

• Anesthesia, Local

Intervention

Other:
• bilateral infraorbital+infratrochlear block
we will perform bilateral infraorbital+infratrochlear nerve block

Locations

Country	Name	City	State
Turkey	Istanbul University, Department of Anesthesiology	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Remifentanil consumption	We will compare the remifentanil consumption for the block performed and non-block group	6 hours
Secondary	Surgical bleeding grading	We will compare the surgical bleeding scores for the block performed and non-block group	6 hours
Secondary	Richmond agitation sedation scale	We will compare the Richmond agitation sedation scale for the block performed and non-block group. +4 Combative +3 Very agitated +2 Agitated +1 Restless 0 Alert and calm -1 Drowsy -2 Light sedation -3 Moderate sedation -4 Deep sedation -5 Unarousable	6 hours
Secondary	Numeric rating Scale	We will compare the numeric rating scale for pain for the block performed and non-block group. The numeric rating scale (NRS) is a pain screening tool, commonly used to assess pain severity at that moment in time using a 0-10 scale, with zero meaning "no pain" and 10 meaning "the worst pain imaginable"	6 hours
Secondary	Post-operative nausea and vomiting	We will compare the Post-operative nausea and vomiting for the block performed and non-block group	6 hours
Secondary	Need for analgesic after surgery	We will compare the Need for analgesic after surgery for the block performed and non-block group	6 hours

External Links

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