Volume : X, Issue : V, May - 2020

Comparison of injection Dexmedetomedine added to local anaesthetic infiltration with intravenous dexmedetomedine and local infiltration for perioperative haemodynamic stability,sedation score,operative field

Dr Mona Sanjeevkumar Jadhav

Abstract :

Aim : Injection Dexmedetomedine, a potent alpha 2 agonist is used effectively asperioperative intravenous sedation along with local infiltration forTympanoplasty.But intravenous use of this drug can cause severe adycardia,hypotension and postoperative sedation for prolong time. This can delaypostoperative recovery and discharge.So use of injection Dextmedetomedine added to local anaesthetic infiltration with same advantage avoiding side effects of intravenous Dexmedetomedine. Methodology: Sixty patients of .age gp 18–60 yrs scheduled for Tympanoplasty under localanaesthesia to be randomly divided into two equal group. In Gp A 10 ml of 2 %adrenalised lignocaine infiltration to be given along with intravenousDextmedetomedine bolus 1 microgram per KG body wt followed by0.2microgram per Kg per hour infusion. In GP B injection Dextmedetomedine one microgram per Kg to be added to 2 % adenalised xylocaine for infiltration. Comarison to be done for onset and duration of analgesia, perioperative haemodynamic parameter, sedation score ,grade of bleeding and postoperative recovery score.Qualitative data to be presented as frequency,percentage and analysed using Chi suare test. P value of < 0.005 to be considered as significant . Results: Haemodynamics like mean blood pressure and heart rate was statistically significant (P<0.005) with more adycardia and hypotension in GP A .Also sedation score was also statistically significant ( P<0.005) with patients more deeply sedated intraoperatively and in recovery room in GP A .Postoperative recovery score was statistically significant ( P<0.005) ,GP A showed delayed recovery from sedation. Conclusion: We can use Dexmedetomedine as a adjuvant to local anaesthesia infiltration for tympanoplasty with advantage of calm cooperative patient, adequate analgesia without perioperative haemodynamic instability and early postoperative recovery

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

COMPARISON OF INJECTION DEXMEDETOMEDINE ADDED TO LOCAL ANAESTHETIC INFILTRATION WITH INTRAVENOUS DEXMEDETOMEDINE AND LOCAL INFILTRATION FOR PERIOPERATIVE HAEMODYNAMIC STABILITY,SEDATION SCORE,OPERATIVE FIELD, Dr Mona Sanjeevkumar Jadhav INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-5 | May-2020


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