Title
Effect of Ketamine Addition to Lidocaine in Rhinoplasty
Effect of Ketamine Addition to Lidocaine for Postoperative Pain Management in Rhinoplasty
Phase
Phase 4Lead Sponsor
Inonu UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Nose Deformities, AcquiredIntervention/Treatment
ketamine lidocaine sodium chloride ...Study Participants
90The purpose of this study is to determine whether subanesthetic ketamine addition to lidocaine decreases postoperative pain scores in infiltration anesthesia during rhinoplasty.
In rhinoplasty operations local infiltration anesthesia uses for surgery insight and patient comfort. The investigators designed this study to prolonged the time of infiltration block and preventive analgesia. So, before operation, study drugs will infiltrate to the submucosa of intranasal cavity. Then, surgeon and patient satisfaction, postoperative analgesic demand, postoperative pain scores and side effects will determine.
12 mL lidocaine 2% 1mg/kg
ketamine 0.5 mg/kg + Lidocaine 2% 1 mg/kg in total volume of 12 mL
12 mL saline (0.9% isotonic solution)
After standard anesthesia induction and before surgery, patients will receive submucosal infiltration of 12 mL lidocaine 2%, 1mg/kg into nasal cavity.
After standard anesthesia induction and before surgery, patients will receive submucosal infiltration of 12 mL ketamine 0.5 mg/kg plus lidocaine 2% 1 mg/kg of the intranasal cavity.
After standard anesthesia induction and before surgery, patients will receive submucosal infiltration of saline 12 mL into intranasal cavity.
Inclusion Criteria: Patients scheduled for elective rhinoplasty operation under general anesthesia Patients with ASA (American Society of Anesthesiology) class I Patients between 18-50 years old Exclusion Criteria: Age <18 and >50 ASA > II Preexisting neurological or psychiatric illness Systemic diseases (diabetes mellitus, hypertension, coronary heart disease...) Having a history of chronic pain and receiving chronic analgesia therapy Having a history of drug abuse