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
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- EP ID EP521216
- DOI 10.26611/1015939
- Views 141
- Downloads 0
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