Volume : VI, Issue : V, May - 2016

Use Of Intravenous Infusion Of Dexmedetomidine As An Adjuvant To Local Anesthesia In Middle Ear Surgery

Dr. Rupal B Shah, Dr. Gargi M Bhavsar, Dr. Jaykumar R Goyal, Dr. Viral D Sanghvi, Dr. Shimoli Y Patel, Dr. Bhargav M Ghelani

Abstract :

<p> The new selective α –2 adrenergic agonist dexmedetomidine (dex) has sedative, analgesic and anxiolytic properties. we hypothesized that dex, when administered intravenously during ear surgery with local anesthesia, provides awake sedation, hemodynamic stability, better post operative analgesia and thus improves patient comfort and surgeon satisfaction.Asa grade i and ii patients of either sex aged 18–60 were randomly allocated into 2 equal groups of 20 each. patients in group ‘d’ received intravenous(i.v.) loading dose of 1µg/kg dex over 10 minutes and maintenance dose of 0.5 µg/kg/hr given till closure of surgery. patients in group ‘c’ (control group) received normal saline at similar rate to group d. the level of sedation was assessed by ramsey’score, per operative hemodynamic changes, surgical field in term of visual blood loss and duration of post operative analgesia was recorded.Group ‘d’ achieved good sedation than control group. Dex also reduced the requirement of anagesic drug post operatively. both group patients were hemodynamicaly stable.Intravenous dexmedetomidine administration provides good sedation peri operatively with hemodynamic stability and better post operative analgesia.</p>

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Rupal B Shah, Gargi M Bhavsar, Jaykumar R Goyal, Viral D Sanghvi, Shimoli Y. Patel, Bhargav M. Ghelani Use Of Intravenous Infusion Of Dexmedetomidine As An Adjuvant To Local Anesthesia In Middle Ear Surgery Indian Journal of Applied Research, Vol.6, Issue : 5 MAY 2016

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