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 273
- Downloads 0
Association of vitamin D and insulin resistance in individuals with metabolic syndrome
Background: Metabolic syndrome (MetS), a lifestyle disease related with many biochemical alterations which prompt a person to type 2 diabetes and cardio vascular diseases (CVD). Widespread studies conceded right t...
Privatization of Saudi health-care system and its significant effect: A review
This is a review paper focusing on privatization of health-care delivery system in the Kingdom of Saudi Arabia and its potential impact. 30 suitable literature were identified from a database out of which only 20 were re...
Association of sleep quality with general health: an Indian college students study
Background: Poor sleep quality impacts the quality of life and general health. However, there is a dearth of research in this area. The college student population has lifestyles and habits that deteriorate the qualit...
Biosocial determinants of birth weight in a rural PHC of North Karnataka: a cross-sectional study
Background: Birth weight is influenced by various biosocial factors, and many unfavorable conditions may affect the health and general well-being of the mother. One particular factor cannot be attributed to the incid...
Seroprevalence of hepatitis B and hepatitis C viral infections among blood donors of Central Karnataka, India
Background: Hepatitis B virus (HBV) & Hepatitis C virus (HCV) are transfusion transmissible infections. Observation of the trend in seroprevalence is useful to plan preventive measures. Aims & Objective:...