A PROSPECTIVE RANDOMIZED CONTROLLED STUDY OF ORAL CLONIDINE FOR CONTROLLED HYPOTENSION DURING FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)

P S Shanmugam; Vinodh Mani; Jissmon

Volume : VII, Issue : V, May - 2017

A PROSPECTIVE RANDOMIZED CONTROLLED STUDY OF ORAL CLONIDINE FOR CONTROLLED HYPOTENSION DURING FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)

P S Shanmugam, Vinodh Mani, Jissmon

Abstract :

controlled hypotension by oral clonidine is used in order to provide a better vision & create a surgical field free of bleed during FESS. Hypotensive anaesthesia is a technique in which the blood pressure is reduced to the optimal level, there by providing the surgeon with bloodless surgical field AIM– to analyse oral clonidine given as a premedication in patients along with other regular premedications such as antisialogogues. MATERIALS AND METHODS– Sixty ASA class I patients of both sexes between the age of 20 – 40 years weighing between 40 – 65kgs, who were scheduled for elective Endoscopic Nasal Sinus Surgery under General Anaesthesia at Meenakshi Medical College and research Institute were selected for this study. RESULTS– Oral Clonidine premedication 4 hours prior to surgery provides a considerable reductionin bleeding during FESS under General anaesthesia (with sevoflurane supplementation). It reduces the need for other hypotensive agents to provide a clear field for surgery.Therefore Oral Clonidine can be used as premedicant as well as a hypotensive agent for FESS