Medicinal, Psychological, and Health Research Journal (MPHRJ)

Abstract Introduction: Traumatic nasal surgery commonly leads to early postoperative complications that may affect airway stability, patient comfort, and overall recovery quality. Understanding the frequency and pattern of these events is essential for improving perioperative management. By systematically evaluating outcomes within the first 24 hours after surgery, this study aims to provide clearer insight into the early postoperative course of affected patients.

Material and methods: The study was designed as an observational investigation conducted at Imam Reza Hospital in Tabriz, enrolling 50 patients based on a sample size estimated using the standard population mean formula. All participants underwent general anesthesia with midazolam, fentanyl, propofol, atracurium, and lidocaine, followed by structured postoperative monitoring to assess early complications within the first 24 hours after traumatic nasal surgery.

Results: The study population consisted of young, mostly healthy patients, predominantly male, with stable baseline characteristics. Post‑anesthesia complications were generally mild, with nausea being the most common, followed by dizziness and shivering. Vomiting and bradycardia occurred infrequently. Age‑ and gender‑based synthetic comparisons showed similar patterns, suggesting minimal influence of demographic factors within this narrow clinical profile.

Conclusion: Overall, the findings demonstrate that postoperative complications in this young and clinically stable cohort were limited in severity and largely dominated by nausea, dizziness, and shivering. The uniform distribution of events across age and gender groups suggests that demographic factors played a minor role in early postoperative risk.

Abstract Introduction: Acute postoperative pain is common after traumatic nasal surgeries, even when regional anesthesia is used. Pethidine remains an essential rescue analgesic for breakthrough pain. Evaluating its usage trend helps assess the adequacy of nerve blocks, identify rebound pain, and optimize multimodal analgesia strategies to ensure effective, individualized postoperative pain management in these patients.

Material and methods: This observational study at Imam Reza Hospital (Tabriz University of Medical Sciences) evaluated trends in pethidine requirements after traumatic nasal surgery under regional anesthesia. A convenience sample of 50 adults was enrolled based on the single population proportion formula. Standardized anesthesia with midazolam, fentanyl, lidocaine, and supplemental propofol was used, and postoperative pain and complications were assessed over 24 hours.

Results: The analysis showed that most patients were young adults with BMI values clustered within the normal to overweight range. Pethidine requirements peaked shortly after recovery-room discharge and declined steadily over 24 hours. Patients with higher BMI demonstrated noticeably greater opioid consumption, suggesting that anthropometric characteristics play a meaningful role in shaping postoperative pain intensity and analgesic demand.

Conclusion: These findings indicate that acute postoperative pain following traumatic nasal surgery is most intense during the early hours and that BMI is a key determinant of increased pethidine need. While regional anesthesia effectively reduces overall analgesic demand, patients with elevated BMI may benefit from reinforced pain control strategies. Overall, adopting individualized, risk adjusted analgesic plans could enhance patient comfort, limit opioid exposure, and improve postoperative recovery outcomes.