Comparative Study of the Effect of Dexmedetomidine v/s Fentanyl on Intraoperative Hemodynamic Response in Robot Assisted Lower Abdominal Onco-Surgeries in Steep Trendlenburg Position
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Introduction: Carbon dioxide insufflation for pneumoperitoneum causes increase plasma levels of catecholamines and vasopressin which leads to hemodynamic disturbances. These effects are exaggerated by the Trendelenburg position and long duration of surgery in robot-assisted surgeries. This study was designed to evaluate the effect of Dexmedetomidine and fentanyl on hemodynamics in robot-assisted surgeries in Trendelenburg position. Methods: After obtaining Ethical committee clearance and patients consent, randomized comparative study on 40 ASA I and II patients, who were randomly allocated to receive either dexmedetomidine or fentanyl intravenous infusion was done. Patients with ASA III & IV, on β blockers, HR<55 bpmin were excluded. Intraoperative Hemodynamics, recovery and emergence was assessed. Students ‘t’ test was used. Results: The study included 40 patients undergoing robotic lower abdominal surgeries requiring steep Trendelenburg positions. Dexmedetomidine group of patients showed better intraoperative hemodynamics at various time intervals as compared to Fentanyl group of patients.
Authors and Affiliations
Rachana ND
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- EP ID EP622245
- DOI 10.21088/ijaa.2349.8471.6419.20
- Views 86
- Downloads 0
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