About this trial
Middle ear surgery is the most popular procedure in ear, nose and throat surgery. Increased sympathetic stimulation after surgery can activate the sympathetic system, causing hypertension and increased heart rate. As a result of these clinical conditions, hemorrhage can occur, which can impair the quality of the surgical field, which is undesirable in middle ear surgery.Clinical studies should be conducted with auricularis magnus nerve block applied in the perioperative period in middle ear surgery and postoperative pain scores.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients undergoing CWD and Mastodectom
Patients undergoing elective surgery
ASA (American Society of Anesthesiologists) physical status classification I-II
Patients over 18 years of age
Disqualifiers
Anticoagulant use
Allergy to the drugs to be used
ASA (American Society of Anesthesiologists) physical status classification IV-V
Presence of infection in the area where the block will be applied
Trial design
Crossover
Treatments tested in this trial
Auricularis Magnus Nerve Block
Procedure/SurgeryAuricularis Magnus Nerve block will be performed using 5 mL of %0.5 bupivacaine
Control Group
Procedure/SurgeryIntravenous analgesics 1 gram paracetamol, 20 mg tenoxicam, 8 mg ondansetron will be administered.
Treatment groups
Trial outcomes
Primary outcomes
Opioid consumption
Intraoperative opioid consumption
Secondary outcomes
Morphine consumption
Postoperative morphine consumption
NRS Scores
NRS scores of the patients after the surgery (0=no pain, 10=worst pain imaginable)
Sponsors and contacts
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Kocaeli University
Lead sponsor
Başakşehir Çam & Sakura City Hospital
Sponsor institution
Başakşehir Çam & Sakura City Hospital
Collaborator