To assess the Compliance and Sedation Score of Intranasal Midazolam and dexmedetomedine Premedication among Children
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 12
Abstract
Background: The pre anesthetic medication forms an integral part of anesthetic management. Some form of premedication is almost universally given before induction of anesthesia. In ancient days both wine and opium were given to lessen the fear of surgery. Objective: To assess the Compliance and Sedation Score of Intranasal Midazolam and dexmedetomedine Premedication among Children between 1 to 5 years of age. Methodology: A longitudinal study was conducted from June 2012 to December 2012 at Department of Anesthesiology of Shri M.P. Shah Medical College, Jamnagar, Gujarat. A total of 30 Cases were selected based on age sex matched with each group for the purpose of the study randomly as per the computer generated random Numbers. Group 1 received intranasal midazolam spray and Group 2 was given intranasal dexmedetomedine. Results: The sedation score was found to be statistically significant at 30 and 45 min post induction. Postoperative recovery score at 30 min was found to statistically highly significant with suggested that postoperative recovery score was better in group 1 as compared to group 2. Conclusion: Intranasal dexmedetomidine spray better sedative condition, response to IV cannulation, separation and induction as compared to intranasal midazolam in majority of patients. This study concludes that intranasal dexmedetomedine is better than intranasal midazolam as premedication in pediatric patients.
Authors and Affiliations
Shilpa S. Naik
Comparison of Haemodynamic Changes with or without Leg Elevation in Elective LSCS under Spinal Anaesthesia
Background: Spinal blockade provides excellent anaesthesia for patients undergoing lower segment cesarean section (LSCS). However hypotension after spinal anaesthesia is a common adverse effect that is commonly experienc...
Cancellation of Elective Cases on the Day of Intended Surgery in a Tertiary Care Paediatric Hospital: Is it a Concern?
Background: Cancellation of elective cases, which may be due to patient factors, administrative and surgeon related factors is an immense burden for all healthcare services economically and also in terms of inconvenience...
A Comparative Study used to Evaluate the Quality of Sedation using Dexmedetomidine and Propofol Infusion in Critically Ill Patients Admitted in ICU
Introduction: The ICU environment produces high level of stress, strain and discomfort to the patients with physiochemical, physiological psychological alterations. So adequate level of analgesia and sedation to the pati...
Comparative Study to Assess the Efficacy of Epidural Steroid Injection by Interlaminar and Trans-Foraminal Approach for Low Back Ache with Unilateral Lumbar Radicular Pain
Background: Interlaminar and trans-foraminal epidural steroid injections are commonly performed interventions in managing low backache with lumbosacral radicular pain.However, controversy exists to the superiority of one...
Efficacy of Airway Assessment Variables as Predictors of Difficult Intubation among Northeastern Population in India: A Hospital Based Prospective Study
Difficult intubation is an important cause of mortality in surgical patients; even more so when it is unanticipated. Predicting difficult intubation with the help of different airway parameters has been the endeavor of a...