Comparison of Intravenous Clonidine and Magnesium Sulfate on Hemodynamic Response during Laparoscopic Surgeries

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4

Abstract

Background: Both magnesium and clonidine are known to inhibit catecholamine and vasopressin release and attenuate hemodynamic response to peumoperitoneum. This randomized, double blinded, placebo controlled study was designed to assess which agent attenuates hemodynamic stress response to pneumoperitoneumin a better way. Materials and Methods: 60 patients undergoing elective laparoscopic cholecystectomy were randomized into 2 groups of 30 each. Group M patients received 50 mg/kg of magnesium sulfate in normal saline (total volume 50 ml) over 15 minutes and group C patients received 1.5g/kg clonidine in 50 ml of normal saline (total volume 50 ml) before pneumoperitoneum. Blood pressure and heart rate were recorded before induction (baseline value), at the end of infusions and every 5 minutes after pneumoperitoneum. Statistical Analysis: Chi- Square test was used for categorical data and ANOVA for inter-group comparison. Results: Intravenous administration of clonidine 1.5g/kg before pneumoperitoneumwas as effective as intravenous magnesium sulfate 50mg/kg before pneumoperitoneum in blunting the haemodynamic stress responses during laparoscopic surgeries and clonidine has lesser sedation than magnesium at extubation.

Authors and Affiliations

R. Kabilan

Keywords

Related Articles

Rocuronium Versus Vecuronium in Endotracheal Intubation and Maintenance in General Anaesthesia\

Introduction: Adequate maintenance of airways in patients undergoing surgeries under general anaesthesia was through proper intubation. Succinylcholine was the most opted neuromuscular drug in the past 50 years administe...

Study on the Incidence of Perioperative Arrhythmias in Lower Segment Caesarean Section Patients Under Spinal Anaesthesia

Lower segment caesarean sections [LSCS] are the most common emergency or elective cases we come across. Majority of these cases are done under regional anaesthesia. Perioperative cardiac arrhythmias in these cases are co...

Comparison of Paravertebral Block and Interpleural Block in Patients Undergoing Breast Surgery Under General Anaesthesia

Background and Aims: Paravertebral and interpleural blocks are indicated for providing intraoperative and postoperative analgesia in unilateral surgeries of the chest and abdomen. The aim of this study was to evaluate th...

Femoral Nerve Block Versus Intravenous Fentanyl for Positioning During Central Neuraxial Block: A Comparitive Study

Background: Fracture of the femur is a common orthopaedic problem following trauma in patients of all ages. This study was undertaken to compare the effectiveness of intravenous (IV) fentanyl with femoral nerve block (FN...

Effect of Dexmedetomidine on Haemodynamic Response to Pneumoperitoneum in Patients Undergoing Laparoscopic Cholecystectomy

Background: As laparoscopic cholecystectomy is a routinely performed surgery, it is desirable to have a stable intraoperative haemodynamic status. This study is designed to evaluate the efficacy of single intravenous bol...

Download PDF file
  • EP ID EP472165
  • DOI 10.21088/ijaa.2349.8471.4417.40
  • Views 104
  • Downloads 0

How To Cite

R. Kabilan (2017). Comparison of Intravenous Clonidine and Magnesium Sulfate on Hemodynamic Response during Laparoscopic Surgeries. Indian Journal of Anesthesia and Analgesia, 4(4), 1163-1169. https://europub.co.uk/articles/-A-472165