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)
Keywords
Related Articles
- EP ID EP261007
- DOI -
- Views 146
- Downloads 0
Clonidine- An ideal premedicant for attenuation of haemodynamic side effects of intravenous Ketamine anaesthesia
Background: Using Ketamine as an anaesthetic agent is often associated with tachycardia and hypertension due to cardiostimulatory effects. Clonidine being an α2 agonist is supposed to be an ideal premedicant for it. Mate...
Diagnostic value of different screening tests for predicting difficult intubation
Aims: The aim of current study was to compare the diagnostic value of different screening test in predicting difficult intubation. Settings and Design: Hospital based observational cross sectional study Methods and Mater...
Comparing effect of Phenylephrine and ephedrine in patients undergoing lower segment caesarean section under spinal anaesthesia
Background: Spinal anesthesia, a frequently used technique for caesarean delivery may be associated with maternal hypotension in as many 85% of patients. Various vasopressor have been studied for the treatment. Aim: The...
Comparison between ultrasound-guided transversus abdominis plane block and conventional ilioinguinal/iliohypogastric nerve block as post-operative analgesia for nilateral open inguinal hernioplasty under spinal anaesthesia
Background: Open inguinal hernioplasty is commonly performed under spinal anesthesia. Transversus Abdominis Plane (TAP) block or ilioinguinal/iliohypogastric (IHN) block are used for postoperative pain relief in these pa...
Comparison of intrathecal dexmedetomidine - 0.5% heavy bupivacaine combination with intrathecal 0.5% heavy bupivacaine alone for lower limb and lower abdominal surgeries
Aims: To assess the effects of intrathecal dexmedetomidine on the onset and duration of action of sensory and motor block, haemodynamic alteration, associated complications, level of sedation and intraoperative analgesia...