Comparison of Recovery Following Two Different Anaesthetic Techniques in Term Neonates Undergoing Emergency Colostomy: A Prospective Randomised Controlled Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 9
Abstract
Introduction: The risk of apnea after surgery is significant in neonates regardless of anaesthetic agents used. A prospective randomized study done at our institute to explore the hypothesis “post-operative neonatal recovery is better with sevoflurane and caudal block with spontaneous ventilation compared to a technique with muscle relaxants.” Aim: To study neonatal recovery after sevoflurane and caudal block with spontaneous ventilation in comparison with the addition of Muscle relaxants. Materials and Methods: Study done in 100 term neonates, undergoing emergency colostomy were studied for a period of 2 years. Group I patients induced and intubated with sevoflurane maintained spontaneous ventilation. Group II patients induction and intubation by sevoflurane and atracurium. Caudal block given in both groups with 1.25ml/kg volume of bupivacaine. Blinded observers recorded emergence timings and monitored postoperative apnea for 12 hours. Results: Statistically no significant difference in the vital parameters recorded intraoperatively and post-operatively between the 2 groups. Median value of EtCO2 was different with p value < 0.05. Median time to first movement, eye opening, tracheal extubation and first cry was less in group I (150, 150, 180, 210 seconds) than in group II (300, 330, 360 and 420 seconds). Post-operative incidence of apnea is lesser in group I (3/50) than group 2 (11/50), Chi-square static is 6.3529. p value is 0.012 (<0.05). No rescue airway interventions were required in both groups. Conclusion: Post-operative apnoeic spells are less and neonates wake faster with sevoflurane and caudal block with spontaneous ventilation compared to muscle relaxant group with IPPV. Sevoflurane and caudal block with spontaneous ventilation is preferable to other techniques for newborn lower abdominal surgeries.
Authors and Affiliations
Aavula Muralidhar
Keywords
Related Articles
- EP ID EP538326
- DOI 10.21088/ijaa.2349.8471.5918.3
- Views 74
- Downloads 0
Postoperative Sore Throat (POST): Efficacy of Ketamine Gargling for Attenuation
It is reported that, peripherally administered NDMA receptor antagonists are involved in anti-nocieption 15 and anti-inflammatory action [16]. The present study was undertaken to evaluate the ketamine hydrochloride gargl...
Comparison of Intravenous Clonidine and Magnesium Sulfate on Hemodynamic Response during Laparoscopic Surgeries
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 des...
To Evaluate the Hemodynamic Effects of Induction doses of Propofol and Etomidate under Entropy Guidance: A Prospective, Observational Study
Context: Entropy monitoring enables us to administer the anaesthetic doses of induction agents with precision so as to avoid intraoperative awareness, light planes of anaesthesia on one hand and delayed recovery, haemody...
Efficacy of Right Superficial Cervical Plexus Block and Intravenous Dexmedetomidine for Relief of Shoulder Pain in Laparoscopic Surgery Under Spinal Anaesthesia: A Feasibility Study
Background and Aim: Laparoscopic procedures are conventionally done under general anaesthesia for avoiding patient discomforts and shoulder pain due to pneumoperitoneum that occur during laparoscopy under spinal anaesthe...
A Comparison Between Airtraq Optical Laryngoscope and Conventional Macintosh Laryngoscope for Intubation in Adult Surgical Patients: A Prospective Randomized Controlled Study
Tracheal intubation using a laryngoscope is considered as a gold standard 1 of airway management during administration of general anesthesia and also in critical care settings because of its several advantages including...