Effect of the premedication with oral clonidine on surgical comfort in patients undergoing fess due to advanced nasal polyposis: a randomized double blind clinical trial

Abstract

Objective: The objective of this randomized double blind study was to evaluate effect of the premedication with oral clonidine on blood pressure, cleaning of surgical site and bleeding in the ESS performed due to advanced NP. Methods: A total of 52 patients who underwent functional endoscopic sinus surgery (FESS) due to Kennedy grade 4 nasal polyposis (NP) were included. Patients were randomized into two groups. Group 1(n = 26) received 0.2 mg oral clonodine one hour before the operation in addition to standard anesthesia procedure. Group 2 (n = 26) was administered standard anesthesia procedure alone. The amount of bleeding during surgery, cleaning of surgical site and surgeon's satisfaction were evaluated in comparison between the groups. Results: The amount of bleeding and mean arterial pressure were significantly lower in the Group 1 compared to the Group 2. The deaning of surgical site was found to be significantly better and surgeon's satisfaction significantly higher in the Group 1 than in the Group 2. Systolic, diastolic and mean arterial pressures during surgery were significantly lower in the Group 1 compared to the Group 2. Conclusion: Premedication with oral donidine provides a dearer view of surgical site, reduces the amount of bleeding and significantly increases surgeon's satisfaction during the operation in FESS performed due to NP. Premedication with oral donidine is a safe, inexpensive and effective methods in order to increase the surgical success and comfort and reduce complications in the FESS surgery.