Controlled Sedoanalgesia in External DCR Surgery
Comparison of Controlled Sedoanalgesia and General Anesthesia in Dacryocystorhinostomy Surgery
1 other identifier
interventional
44
1 country
1
Brief Summary
In our study, we aim to compare general anesthesia and controlled sedoanalgesia methods in dacryocystorhinostomy (DCR) surgery in terms of hemodynamic data, bleeding amount, postoperative complications (bleeding, pain, etc.) and anesthesia satisfaction in a prospective and randomized controlled manner.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 7, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 7, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2021
CompletedFirst Submitted
Initial submission to the registry
May 22, 2022
CompletedFirst Posted
Study publicly available on registry
May 31, 2022
CompletedMay 31, 2022
May 1, 2022
1 year
May 22, 2022
May 25, 2022
Conditions
Outcome Measures
Primary Outcomes (4)
hemodynamic data
blood pressure (mm/hg)
through surgery completion
hemodynamic data
heart rate (bpm)
through surgery completion
hemodynamic data
peripheral oxygen saturation (percent)
through surgery completion
amount of bleeding
the amount that bleeds into the aspirator and cottons during the surgery (ml)
amount of bleeding calculated during surgery
Secondary Outcomes (2)
postoperative complications
postoperatif 12 hour
postoperative complications
postoperatif 12 hour
Study Arms (2)
sedoanalgesia(SA group)
ACTIVE COMPARATORSedoanalgesia was applied to the SA group
general anaesthesia (GA group)
ACTIVE COMPARATORGeneral anaesthesia was applied to the GA group
Interventions
Controlled sedoanalgesia was applied with Bispectral index and dexmedetomidine
Eligibility Criteria
You may qualify if:
- Primary DCR surgery to be performed
- years and older patients
- Having an American Society of Anesthesiology score of 1, 2, 3
- Having approved and signed the informed consent form
You may not qualify if:
- Patients younger than 18 years old
- Patients with an American Society of Anesthesiology score of 4 and above
- Patients who do not accept informed consent
- History of drug allergy and opioid tolerance
- Uncontrolled diabetes mellitus
- Coagulation disorder
- Cases with severe liver and kidney disease
- Those who refused to participate in the study
- They will have DCR surgery again
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Bursa Uludağ Üniversitesi Tip Fakültesi
Bursa, Ni̇lüfer, 16000, Turkey (Türkiye)
Related Publications (8)
Ciftci F, Pocan S, Karadayi K, Gulecek O. Local versus general anesthesia for external dacryocystorhinostomy in young patients. Ophthalmic Plast Reconstr Surg. 2005 May;21(3):201-6. doi: 10.1097/01.iop.0000163317.73873.c9.
PMID: 15942495BACKGROUNDTuladhar S, Adhikari S, Bhattarai BK. Effectiveness of sedation in dacryocystorhinostomy surgery. Nepal J Ophthalmol. 2009 Jan-Jun;1(1):25-31. doi: 10.3126/nepjoph.v1i1.3670.
PMID: 21141018BACKGROUNDScawn RL, Allen MJ, Rose GE, Verity DH. Randomised, masked study of local anaesthesia administered prior to external dacryocystorhinostomy under general anaesthesia. Eye (Lond). 2019 Mar;33(3):374-379. doi: 10.1038/s41433-018-0201-5. Epub 2018 Sep 18.
PMID: 30228368BACKGROUNDEghbal MH, Sahmeddini MA. Comparison larygeal mask airway with the endotracheal tube for the external dacryocystorhionostomy surgery. A randomized clinical trial. Middle East J Anaesthesiol. 2013 Oct;22(3):283-8.
PMID: 24649784BACKGROUNDKersey JP, Sleep T, Hodgkins PR. Ocular perforation associated with local anaesthetic for dacryocystorhinostomy. Eye (Lond). 2001 Oct;15(Pt 5):671-2. doi: 10.1038/eye.2001.213. No abstract available.
PMID: 11702990BACKGROUNDApan A, Doganci N, Ergan A, Buyukkocak U. Bispectral index-guided intraoperative sedation with dexmedetomidine and midazolam infusion in outpatient cataract surgery. Minerva Anestesiol. 2009 May;75(5):239-44. Epub 2008 Dec 17.
PMID: 19088698BACKGROUNDHarissi-Dagher M, Boulos P, Hardy I, Guay J. Comparison of anesthetic and surgical outcomes of dacryocystorhinostomy using loco-regional versus general anesthesia. Digit J Ophthalmol. 2008 Jan 1;14:1-6. doi: 10.5693/djo.01.2008.001. eCollection 2008.
PMID: 29440968BACKGROUNDSaglam U, Kivanc SA, Girgin NK. Comparison of Anesthetic and Surgical Outcomes Between General Anesthesia and Dexmedetomidine-Based Sedoanalgesia in Dacryocystorhinostomy Surgery With Bispectral Index Monitoring. Anesthesiol Res Pract. 2025 Nov 4;2025:6650312. doi: 10.1155/anrp/6650312. eCollection 2025.
PMID: 41200122DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 22, 2022
First Posted
May 31, 2022
Study Start
February 7, 2020
Primary Completion
February 7, 2021
Study Completion
March 1, 2021
Last Updated
May 31, 2022
Record last verified: 2022-05
Data Sharing
- IPD Sharing
- Will not share