TO COMPARE AND EVALUATE THE EFFECTIVENESS & SAFETY OF IV DEXMEDETOMIDINE AND IV DEXMEDETOMIDINE ALONG WITH EITHER FENTANYL OR BUTORPHANOL FOR MONITORED ANAESTHESIA CARE IN MICROSCOPIC MIDDLE EAR SURGERIES UNDER LOCAL ANAESTHESIA

ASHOK KUMAR; KANTA BHATI; RASHMI JAIN; PAWAN GUPTA

Volume : VII, Issue : V, May - 2018

TO COMPARE AND EVALUATE THE EFFECTIVENESS & SAFETY OF IV DEXMEDETOMIDINE AND IV DEXMEDETOMIDINE ALONG WITH EITHER FENTANYL OR BUTORPHANOL FOR MONITORED ANAESTHESIA CARE IN MICROSCOPIC MIDDLE EAR SURGERIES UNDER LOCAL ANAESTHESIA

Ashok Kumar, Kanta Bhati, Rashmi Jain, Pawan Gupta

Abstract :

Background: This study was designed to evaluate the comparative effectiveness and safety of dexmedetomidine and dexmedetomidine with Butorphanol or Fentanyl for sedation, analgesia, blood less surgical field, patients and surgeons satisfaction in patients undergoing middle ear surgery(MES) under local anaesthesia with Monitored Anaesthesia Care (MAC).

Material & Methods: 90 patients aged 12 to 50 years, ASA class I and II undergoing elective microscopic MES under Local Anaesthesia with MAC were randomized into three groups (n=30). All groups received inj. Dexmedetomidine 1�g.kg^–1in 100 ml NS as loading dose over 10 minutes and then 0.5 �g/kg/hr as infusion. In group D NS 10ml, group DF inj. Fentanyl 1�g.kg,^–1in NS and in group DB inj.Butarphanol 1mg.kg^–1in NSwas given after Dexmedetomidine bolus.

Results:Ramsay sedation score(RSS) remained higher in group DB and the VAS score remained at lower scalein group DB & group DF.Group DB patients required minimum rescue analgesia. Patients and surgeons were more satisfied in group DB.

Conclusion: We concluded that dexmedetomidine and butorphanol combination is better for intraoperative sedation, analgesia, patient comfort and surgeon satisfaction with bloodless surgical field.