Efficacy of dexmedetomidine as an anaesthetic adjuvant for functional endoscopic sinus surgery under general anaesthesia: A randomized controlled study (of 50 cases)
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 3
Abstract
Functional endoscopic sinus surgery (FESS) is one of the commonly performed Surgeries for acute and chronic sinus pathologies and nasal polyps. Dexmedetomidine is highly selective Alpha 2 agonist acts by central mechanism and reduces bleeding. Fifty Patients coming for elective surgery under general anesthesia ASA grade I, II, were divided in to two groups Dexmedetomidine and Control Group. Study drug was Injected 10 minutes before induction in group D and surgical field assessed – surgical time, emergence time and recovery time. During the procedure, hemodynamic changes, intraoperative surgical grade of bleeding based on Fromme–Boezaart scale, propofol induction dose and intraoperative fentanyl consumption, emergence time, and total recovery from anaesthesia were recorded. Group D showed better surgical field and the surgical time was also reduced compared to Group C with intraoperative fentanyl consumption indicating Dexmedetomidine was effective and safe to provide an oligemic surgical field and hemodyanamic stability during FESS.
Authors and Affiliations
Bharati Rajani, Hemlata Chaudhary, Shobhna Gupta, Ramesh Lakhavat
Keywords
Related Articles
- EP ID EP521216
- DOI 10.26611/1015939
- Views 161
- Downloads 0
Use of Baska mask for laparoscopic surgeries in adult patients: A prospective observational study
Background:Baska mask is the first commercially available third generation, self-sealing supraglottic airway device that is recently introduced in India. This study is conducted to know the efficacy of the device in pati...
General anaesthesia versus combined spinal plus general anaesthesia for elective lumbar spine surgeries: A randomized comparative study
Background: Lumbar spine surgeries are most commonly performed under general anaesthesia. It allows better patient satisfaction and prolong surgeries but can be accompanied by several perioperative morbidities. Spinal an...
A study of post-operative analgesia, ambulation and discharge in patient of inguinal hernia repair by tap block versus splash block
Background: Innervation of the anterolateral abdominal wall arises from the anterior rami of spinal nerves T7 to L1. The anterior divisions of T7-T11 continue from the intercostal space to enter the abdominal wall betwee...
An observational study of basic life support knowledge amongst nurses in a tertiary care hospital from Gujarat, India
Background: Successful Cardio Pulmonary Resuscitation for a good patient outcome requires teamwork. Appropriate knowledge amongst health professional is necessary. The skills and confidence of performing basic life suppo...
Evaluation of the effects of P6 acupressure application on postoperative nausea and vomiting during laparoscopic cholecystectomy
Background: Postoperative nausea and vomiting (PONV) are most common and distressing complication of anesthesia. Acupressure at P6 acupoint is non-pharmacological method which can reduce postoperative nausea and vomiting...