Comparison of Local Anaesthesia with Sedation to General Anaesthesia in Surgeries of Middle Ear
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Introduction: Middle ear surgeries (MES) can be performed under either general anaesthesia or local anesthesia and sedation and can be well tolerated by the patient with minimal discomfort. Material & Methods: Eighty patients of either sex, aged between 20 and 50 years of ASA Grades I and II, undergoing MESs (tympanoplasty and mastoidectomy) under local anaesthesia were included. Patients in Local Anaesthesia group received a bolus dose of injection dexmedetomidine 1 μg/kg IV over 10 min followed by an infusion started at 0.4 μg/kg/h IV. In patients of General Anaesthesia group inj propofol 1 mg/ kg was given followed by .1mg/ kg of vecuronium bromide After 2 minutes pts were put on LMA and maintained with oxygen and nitrous oxide in ratio of 1:2 and 0.5 mac of isoflurane throughout the procedure and were switched offon the commencement of skin stitch. Statistics Hemodynamic data was evaluated using t test for group comparisons. Data not normally distributed was compared using Mann Whitney U test. Categorical data was analyzed using Chi square test. P value lessthan 0.05 was considered as significant Result: If patients satisfaction is taken for consideration then general anesthesia technique is preferred over local anesthesia However the middle ear surgery can be performed with any of the methods of anaesthesia
Authors and Affiliations
Dr Bimal Krushna Panda
Keywords
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