IJSR - International Journal of Scientific Research

Chandra Rajesh; Prakash Shanti; Lakra ladhu; Sinha Ritesh Kumar; Kumar Harish; Singh Sumit Kumar

Volume : VI, Issue : IV, April - 2017

Comparative Study Of Postoperative Agitations And Ease Of Venipuncture After Intranasal Dexmedetomidine and Midazolam as Premedication In Children Of Age Group Of 27 Years

Chandra Rajesh, Prakash Shanti, Lakra Ladhu, Sinha Ritesh Kumar, Kumar Harish, Singh Sumit Kumar

Abstract :

Background : Agitation is seen in children and most commonly post operative.There is increase sympathetic drive due to this. Post operative complications are seen in many childrens and it increases anxiety and concern of the parents also. The purpose of this study is to compare postoperative agitations and ease of venipuncture after Intranasal Dexmedetomidine and Midazolam of age goup between 2–7 years. Methods: This study was conducted as a randomized clinical trial among 60 childrens who undergone elective surgery. The patients were randomly allocated into two groups. Group D – children received dexmedetomidine, 1 µg/kg intranasally 40 – 45 min prior to anaesthesia induction.Group M – children received midazolam 0.2 mg/kg intranasally 40 – 45 min prior to anesthesia induction. Results : About 53.3% of the study subjects had a score of 5–6, 33.3% had a score of 3–4 and 13.3% had a score of 0 – 2. In the Midazolam group, 46.7% had score of 3 – 4, 33.3% had a score of 0 – 2 and 20% had a score of 5 – 6. This difference was statistically significant.Conclusion: Dexmedetomidine had better ease of venipuncture than midazolam i.e more analgesic effect. Dexmedetomidine had shown lesser incidence of post operative agitation than midazolam.