Volume : VIII, Issue : VIII, August - 2019

A COMPARATIVE STUDY OF DEXMEDETOMIDINE VS FENTANYL AS AN ANAESTHETIC ADJUVANT IN ANAESTHESIA FOR COCHLEAR IMPLANTATION IN PEDIATRIC PATIENTS: DOUBLE BLIND CONTROL STUDY

Dr. A. Azmal Khan, Dr. A. L. Shahjahan

Abstract :

Cochlear implant surgery is a great advancement in ear surgery for patients with irreversible heå loss. It mandates deliberate hypotension to provide a better surgical field. Dexmedetomidine is an alpha–2 adrenoceptor agonist that provides adequate sedation with high cardiovascular stability. This randomized double blind study was aimed to compare Dexmedetomidine with Fentanyl, an opioid, as an anaesthetic adjuvant in forty pediatric patients undergoing cochlear implantation. They were divided into two groups by using intravenous bolus and infusion doses of Dexmedetomidine and Fentanyl intraoperatively following intravenous induction. Use of muscle relaxant was limited to a single dose to facilitate monitoring of the facial nerve using a peripheral nerve stimulator. Both groups were also compared with regards to the quality of the surgical field, intraoperative hemodynamics, recovery from anaesthesia, discharge time, postoperative pain using objective pain score and the need for rescue analgesics and anti–emetics in the post anaesthesia care unit (PACU). Our study found that patients in the Dexmedetomidine (D) group had quicker recovery and discharge time, significantly better surgical field and less pain compared to Fentanyl (F) group (p<0.05). Statistical Analysis was done using the Chi–squared test and Fisher’s exact test.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

A COMPARATIVE STUDY OF DEXMEDETOMIDINE VS FENTANYL AS AN ANAESTHETIC ADJUVANT IN ANAESTHESIA FOR COCHLEAR IMPLANTATION IN PEDIATRIC PATIENTS: DOUBLE BLIND CONTROL STUDY, Dr. A. Azmal Khan, Dr. A.L. Shahjahan INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-8 | August-2019

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