A Prospective Randomized Study Comparing Ketamine - Propofol vs Midazolam - Propofol sedation in Elective Cataract Surgeries done under Peribulbar Block
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Cataract surgery, a common surgery in elderly population is often considered as a low risk procedure. A well informed, calm, cooperative patient makes the surgery comfortable for them as well as surgeon. Study aims were to compare two sedation methods Ketamine- Propofol vs Midazolam- Propofol in elective cataract surgeries done under peribulbar block. Material and Methods: 100 patients aged 50-75 years were enrolled in this study. Routine preoperative work up was done. Peribulbar block was given in the eye to be operated which was followed by sedation. Group one recieved sedation with Propofol 0.5mg/kg followed by Ketamine 0.5mg/kg. Group two received sedation with propofol 0.5mg/kg followed by midazolam 0.05 mg /kg. Complications during the procedure and recovery was recorded. Patient sedation was assessed using modified ramsay score and discharge from recovery using modified Alderti score. Five point Likert scale was used to assess patient satisfaction post op. Results: Group one had much patient satisfaction than group two in cataract surgeries On the contrary, the complications and time of discharge was more in group one than two. Conclusion: Ketamine/propofol sedation coupled with eye block provided ideal comfortable surgical experience for the patients though the complications and discharge time were more. On the other hand the Propfol/ Midazolam group had lesser complications but more uncomfortable for the patients.
Authors and Affiliations
Aduru Krishnamurthy, A. C. Malarvizhi
Keywords
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