Use of intravenous dexmedetomidine in modified radical mastoidectomy under general anesthesia
Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 8
Abstract
Background: Modified radical mastoidectomy is a microscopic ENT procedure which when performed under general anesthesia (GA) required nitroglycerin for control of intraoperative bleeding at the surgical site. When dexmedetomidine used as an adjuvant to anesthetic drugs, nitroglycerin is rarely used. Objective: The aim of this study is to evaluate the efficacy of dexmedetomidine on the reduction of intraoperative bleeding in modified radical mastoidectomy under GA. Materials and Methods: This study was conducted on 100 adult ASA Grade I/II patients of either sex, scheduled for modified radical mastoidectomy under GA. Grading of bleeding at the surgical site, a number of patients required nitroglycerin for control of bleeding were recorded. Results: No patient in Group D required nitroglycerin for reduction of bleeding, but 40 patients in Group C required nitroglycerin for reduction of bleeding. The overall incidence of significant bleeding which required frequent suctioning in control group was 40 (80%) compared with 0 (0%) in the dexmedetomidine group. Conclusion: Infusion of dexmedetomidine in perioperative period significantly reduced the requirement of nitroglycerin for controlled hypotension.
Authors and Affiliations
Sarita Gohiya, Vineet Kumar Gohiya
Keywords
Related Articles
- EP ID EP483319
- DOI 10.5455/ijmsph.2018.0413403052018
- Views 505
- Downloads 0
Prevalence of anemia among pregnant women ‑ A cross‑sectional study
Background: Anemia in pregnancy is a worldwide problem, but it is most prevalent in the developing world. Anemia during pregnancy affects both mother’s and her child’s health. Globally, the prevalence of anemia is 74% am...
Tympanosclerosis causing blockage of Middle Ear Cleft
Background: Middle ear cleft space starts from Eustachian tube, and includes middle ear, aditus & mastoid antrum. It develops from 1st visceral pouch. Blockage of middle ear cleft, particularly the aditus can...
Prevalence of refractive errors among dental scholars and supporting auxiliary staff in a Government Hospital of Kashmir- A cross-sectional study
Background: The untreated refractive errors have a substantial effect on learning and academic achievement of students other than being a personal issue. Visual disorders due to refractive errors are the most common dise...
Prevalence of smoking cigarette and water pipes among medical students in Taif University, Taif-KSA
Background: Smoking cigarette and water pipes (also known as shisha, hubbly bubbly, narghiles, hookahs, and goza) is quite common among youth not only nationally but also internationally. Objective: To understand...
Depression and suicide among medical students: A comparison study between medical and medical sciences students in Taif University, Taif-KSA
Background: Medical school is recognized as a stressful environment that often exerts a negative effect on the academic performance, physical health, and psychological well‑being of the student. Objective: To assess the...