COMPARISON OF HYPOTENSIVE PROPERTIES OF DEXMEDETOMIDINE AND ESMOLOL AND THEIR EFFICACY TO PROVIDE OLIGEMIC SURGICAL FIELD DURING FUNCTIONAL ENDOSCOPIC SINUS SURGERY

Dr. Usha Bafna; Dr. Rohit Gupta; Dr. Manika Aggarwal

Volume : IX, Issue : III, March - 2019

COMPARISON OF HYPOTENSIVE PROPERTIES OF DEXMEDETOMIDINE AND ESMOLOL AND THEIR EFFICACY TO PROVIDE OLIGEMIC SURGICAL FIELD DURING FUNCTIONAL ENDOSCOPIC SINUS SURGERY

Dr. Usha Bafna, Dr. Rohit Gupta, Dr. Manika Aggarwal

Abstract :

Introduction: Induced hypotension to minimize bleeding during FESS is of vital importance to decrease risk of complications. Methods: Sixty patients of ASA–I/II were equally randomly assigned into two groups. Group D received loading dose of Dexmedetomidine 1µg/kg over 10min followed by infusion of 1µg/kg/hr and Group E received esmolol in loading and maintenance dose of 1mg/kg over 1min and 1mg/kg/hr respectively. Visibility of surgical field was assessed using Average Category Scale. Hemodynamic variables, emergence time and postoperative sedation score were recorded. Results: Both Dexmedetomidine and Esmolol were effective in maintaining intraoperative mean arterial pressure within the target range. Heart rate, systolic blood pressure, diastolic blood pressure and MAP were comparable between the two groups during intraoperative period till the stoppage of study drug. Average Category Scale was comparable between two groups. Conclusion: Both Dexmedetomidine and Esmolol are effective in providing ideal surgical conditions during FESS.