Role of oral clonidine premedication for decreasing intra-operative bleeding with respect to scoring system at tertiary health care centre
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 2
Abstract
Background: Functional Endoscopic Sinus Surgery (FESS) is gaining popularity over past two decades as it is helpful in restoring the drainage and aeration of paranasal sinuses, while maintaining the natural mucociliary clearance mechanism and seeking to preserve the normal anatomical structures. Aims and Objectives: To study role of Oral Clonidine premedication for decreasing intra-operative bleeding with respect to scoring system at tertiary health care centre. Methodology: After the Ethics committee approval and informed consent, 50 patients, age group 19-60 yrs, ASA Grade 1 and 2 for functional endoscopic sinus surgery were included into the study carried out at Government medical college Akola in the Department of Anesthesiology. A Randomized prospective double blind study with 2 groups (25 patients in each group) was conducted: Group I: Patient receiving oral Metoprolol, Group II: Patient receiving Oral Clonidine. The statistical analysis was done by SPSS 18 version software. Result: In our study we have seen that The mean age and weight were compared by t-test. No significant difference is present between groups with regard to the age and weight of patient. The study conducted of two groups; Group I Metoprolol and Group II Clonidine, with 25 patients undergoing Functional endoscopic endoscopic sinus surgeries in both the groups (n=25 in each group).Fisher’s test shows no significant difference in the sex of the two groups. Surgical field score was noted intra operative and compared with unpaired t-test with p value of 0.0282 and found that Clonidine group produce better surgical fields as compared to Metoprolol. Clonidine group had surgical score of 2 in 8 patients as compared to just 2 patients in Metoprolol group, while clonidine group had score of 4 in only one patient as compared to 3 in Metoprolol group. Conclusion: It can be concluded from our study that clonidine had better surgical field with respect to less bleeding during operation.
Authors and Affiliations
Gajanan Panjabrao Dhakne, Vaishali Gunwantrao Kotambkar
Keywords
Related Articles
- EP ID EP415325
- DOI -
- Views 193
- Downloads 0
Study of intravenous paracetamol and intravenous tramadol for post operative analgesia in infra umbilical surgery
Background: Relief of postoperative pain is a major concern for patients and anaesthesiologists. Postoperative analgesia has traditionally been provided by opioid analgesics. However, recent trend is to use opioid free a...
Unilateral spinal anaesthesia: An alternative and effective approach in infra-umbilical surgeries in geriatric population
Background: Spinal anaesthesia is simple, easy to administered and reliable cost-effective technique that has been widely used for infra-umbilical surgery. For day care surgical treatment of infra-umbilical origin on one...
Comparison of efficacy of different concentration of bupivacaine in ultrasoundguided transversus abdominis plane (TAP) block for postoperative pain relief in lower segment cesarean section
Women undergoing cesarean delivery present distinctive set of challenges to the anaesthesiologist in the immediate postoperative period. These women want to be alert and mobile in the postoperative period to care for the...
A comparative study of 0.5% bupivacaine and 0.5% levobupivacaine in supraclavicular block in a tertiary care hospital
Background: supraclavicular brachial plexus block have assumed important role in modern anaesthesia practice as they provide ideal effective conditions without any general anaesthesia or adverse haemodynamic effects. Whi...
Comparison of intramuscular atropine and glcopyrrolate in children undergoing various surgical procedures under general anaesthesia
Background: Antiocholinergic premedication in paediatric patients undergoing surgeris under general anaesthesia plays in important role in blocking the potentially dangerous vagal reflexes and in also controlling the oro...