A comparative study of midazolam plus fentanyl versus midazolam plus propofol with respect to hemodynamic stability during regional anaesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
Background: Patient safety has always been a major concern for the physicians of both ancient and modern eras. Aims and Objectives: To study Midazolam plus Fentanyl versus Midazolam plus Propofol with respect to Hemodynamic stability during regional Anaesthesia. Methodology: We conducted a comparative study of conscious sedation using midazolam with fentanyl in group-I vs. midazolam with propofol in group-II. In the department of anesthesia at Government Medical College, Latur. In the period between January 2016 to December 2016. 60 patients of ASA Grade I,II,and III, were randomly divided in two groups, 30 in each group, of between 15 to 60 years. Results: Systolic blood pressure changes in both the groups are comparable with each other at 30 minutes after sedation, but blood pressure fall was more in group II from the base line. Heart rate changes in both the groups applying test of significant changes in heart rate seen after sedation in group-I (Midazolam+Fentanyl) compare to group II (Midazolam+ propofol). Statistically p<0.001 is highly significant in both groups. Conclusion: It can be concluded from our study that Systolic blood pressure changes in both the groups are comparable with each other at 30 minutes after sedation, but blood pressure fall was more in Midazolam plus Propofol group from the base line also in heart rate was more .
Authors and Affiliations
Vinayak S Sirsat, Sangita M Agale(Eram)
A study time of onset, quality of anesthesia used during Electroconvulsive therapy at tertiary health care centre at tertiary physciatric institution
Background: Electroconvulsive therapy (ECT) is a well-established psychiatric treatment in which seizures are electrically induced in anesthetized patients for therapeutic effects. Aims and Objectives: to study time of o...
Comparison of low volume high concentration of local anesthetic with high volume low concentration local anesthetic for supraclavicular block
Regional anesthesia in form of brachial plexus block is a common and reliable mode of anesthesia for upper limb blocks. By virtue of anatomy of brachial plexus supraclavicular approach for brachial plexus is one of favou...
Effect of Rocuronium and Succinylcholine on intraocular pressure during intubation: An institution based comparative study
Background: Anaesthetic management plays a very vital role in the successful outcome of surgeries anywhere, and the eye is no exception. Because of the comparatively small area of surgical field, and the anatomical isola...
Clinical efficacy of isobaric ropivacaine alone, ropivacaine-fentanyl and ropivacaine-dexmedetomidine in spinal anaesthesia for vaginal hysterectomy: A prospective randomized double-blind comparative study
Background: Around 40% of parous woman have problem of Pelvic organ prolapsed (POP) and it effects their life quality. Regional anaesthesia has good patient and surgeon acceptability as well as early discharge of the pat...
Comparative study between topical nitroglycerine and intravenous lignocaine during laryngoscopy for attenuation of pressor response
Aim: The study was designed to find out pressor response during laryngoscopy and endotracheal intubation with or without pre-treatment of 2% topical nitroglycerine and intravenous lignocaine respectively. Method:150 norm...