Postoperative effects of bilateral sphenopalatine ganglion blockade in septorhinoplasty operations; double-blind randomized clinical trial.
Braz J Otorhinolaryngol
; 90(2): 101373, 2024.
Article
en En
| MEDLINE
| ID: mdl-38113753
ABSTRACT
OBJECTIVE:
We aimed to investigate the effect of bilateral sphenopalatine ganglion blockade (SPGB) on the main postoperative complications in septorhinoplasty operations.METHODS:
In this randomized, controlled, prospective study, 80 cases planned for Septorhinoplasty operations under general anesthesia were included in the study. The cases were divided into two groups; SPGB was performed with 2â¯mL of 0.25% bupivacaine bilaterally 15â¯min before the end of the operation in the SPGB group (Group S, nâ¯=â¯40). In the control group (Group C, nâ¯=â¯40), 2â¯mL of 0.9% NaCl solution was applied into both SPG areas. In the recovery unit after the operation; the pain and analgesic needs of the patients at 0, 2, 6 and 24â¯h were evaluated.RESULTS:
There was no statistically significant difference between the groups in terms of hemodynamic parameters (ASA, MBP, HR) (pâ¯>â¯0.05) All VAS values were statistically lower in Group S than in Group C (pâ¯<â¯0.05). In Group S, the need for analgesic medication was found in 5 cases between 0-2â¯h, whereas in Group C, this rate was found in 17 cases, and it was statistically significant (pâ¯<â¯0.05).CONCLUSION:
Bilateral SPGB application was determined to provide better analgesia in the early postoperative period compared to the control group, it was concluded that further studies are needed to say that there are significant effects on laryngospasm and nausea-vomiting. LEVEL OF EVIDENCE 2, degree of recommendation B.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Bloqueo del Ganglio Esfenopalatino
Límite:
Humans
Idioma:
En
Revista:
Braz J Otorhinolaryngol
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Brasil