Objectives: Endoscopic sinus surgery as the treatment of choice is widely used especially in patients with chronic sinusitis that does not respond to medical therapy. The aim of this study is to compare the effect of propofol with dexmedetomidine in reducing blood pressure and bleeding during endoscopic sinus surgery.
Design: Block randomization, double blind, without placebo, trial phase 2, including 100 patients who are candidate for endoscopic sinus surgery.
Setting and conduct: Fentanyl, 1 µg/kg, IV injection to induce anesthesia.
Nesdonal, 5 mg/kg, IV injection to induce anesthesia.
Atracurium, 0.5 mg/kg, IV injection for muscle relaxation.
Participants including major eligibility criteria: All patients who are candidate for endoscopic sinus surgery.
Intervention: Dexmedetomidine, 1 µg/kg as initial dose and 0.4 to 0.8 µg/kg/h IV infusion.
Propofol, 50-150 µg/kg/min IV infusion.
Main outcome measures: Bleeding volume, Systolic blood pressure, Diastolic blood pressure, O2 saturation, Heart rate.