Comparison of Metoprolol and Tramadol with Remifentanil in Endoscopic Sinus Surgery: A Randomised Controlled Trial

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Erdivanli B., Erdivanli Ö., Sen A., Ozdemir A., Tugcugil E., Dursun E.

TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION, vol.46, no.6, pp.424-433, 2018 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 46 Issue: 6
  • Publication Date: 2018
  • Doi Number: 10.5152/tjar.2018.28999
  • Journal Name: TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION
  • Journal Indexes: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Page Numbers: pp.424-433
  • Keywords: Sinus surgery, quality of surgical field, haemodynamic effect, adverse event, bleeding, CONTROLLED HYPOTENSION, SURGICAL FIELD, ANESTHESIA, NITROPRUSSIDE, RECOVERY, INFUSION, ESMOLOL
  • Recep Tayyip Erdoğan University Affiliated: Yes

Abstract

Objective: Controlled hypotension is commonly induced during functional endoscopic sinus surgery to limit mucosal bleeding. This may be detrimental to elderly patients and patients with arterial stenosis. The aim of this pilot study was to determine if a normotensive anaesthetic technique with sufficient analgesia and without profound vasodilation may reduce intraoperative bleeding and incidence of adverse haemodynamic effects associated with vasodilation and variable rate continuous infusions.