ArticleAnesthesia, essays and researches
Comparative Study between Magnesium Sulfate and Lidocaine for Controlled Hypotension during Functional Endoscopic Sinus Surgery: A Randomized Controlled Study.
Article in Anesthesia, essays and researches. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Efficacy of perioperative lidocaine infusion on surgical field quality during functional endoscopic sinus surgery: a systematic review and meta-analysis with trial sequential analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Pooled it
- Effects of dexmedetomidine and magnesium sulphate on controlled hypotension in FES surgeries.Bioinformation · 2025Article
- Safety and efficacy of remifentanil target-controlled infusion for conscious sedation in a pregnant woman: a case report.Journal of medical case reports · 2024Article
- Article
- Hypotensive anesthesia in maxillofacial surgeries: Current concepts.National journal of maxillofacial surgeryReview
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
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Abstract
backgroundIntraoperative bleeding impairs surgical field visibility during functional endoscopic sinus surgery (FESS); several methods have been used to decrease blood loss and improve surgical field, one of them is usage of hypotensive anesthetic agents.
aimWe intended to compare magnesium sulfate with lidocaine, regarding their efficiency in inducing controlled hypotension and providing a better surgical field exposure during FESS and the influence of their usage on extubation time. SETTINGS AND
designThis study design was a prospective randomized controlled double-blinded clinical study. PATIENTS AND
methodsEighty adult patients with patients' physical status ASA Classes I and II, aged 20-50 years scheduled for FESS were randomly divided into two study groups; each group contains 40 patients: Group L received lidocaine 2 mg/kg/h with maximum of 200 mg/h starting at induction of anesthesia and continuing until the end of surgery and Group M received an iv bolus of magnesium sulfate 50mg/kg in a total of 100ml saline over 10 min followed by infusion of 15mg/kg/h until the end of surgery; patients were observed for the quality of the surgical field, blood loss, and extubation time. STATISTICAL ANALYSIS USED: Student's
resultsGroup L showed a significant decrease in blood loss (
conclusionWe concluded that both magnesium sulfate and lidocaine successfully induced controlled hypotension in patients undergoing FEES, but lidocaine provided better surgical field clarity and shorter extubation time.
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