Illendula Upendranath1, Rupa Kumari Amarnath2, Deepraj Singh Bais3, Shravan Kumar M.
INTRODUCTION
Monitored anaesthesia care involves administering a combination of drugs for anxiolytic, hypnotic, amnestic and analgesic effect. Ideally it should result in less physiological disturbance and allow for more rapid recovery than general anaesthesia. It typically involves administration of local anaesthesia in combination with IV sedatives, anxiolytic and analgesic drugs which is a common practice during various ENT surgical procedures.
AIM OF STUDY
Is to “Compare Dexmedetomidine with Fentanyl for sedation in tympanoplasty (ENT Surgeries)”. The objective of the study is to evaluate the efficacy of dexmedetomidine and fentanyl as an appropriate sedative drug for Monitored Anaesthesia Care in Tympanoplasty (ENT surgeries)
METHODS & MATERIALS
A total of 60 patients are being recruited into this study with regards to assess, Pain, Discomfort, Sedation, Peripheral Oxygen Saturation (SPO2) & Systolic Blood Pressure (SBP), Diastolic blood pressure (DBP), Mean arterial blood pressure(MAP) & Heart rate This study was undertaken at Govt. ENT Hospital Hyderabad. Sixty (60) patients undergoing Tympanoplasty surgery were taken for study. Thus the study contains 30 patients in Dexmedetomidine group-(Group D) and 30 patients in Fentanyl group (Group F)
RESULT
Dexmedetomidine provides less discomfort, better sedation, and analgesia when compared with fentanyl under monitored anaesthesia care (Conscious sedation). However, the risk of adverse effects requires monitoring for ready intervention. It provides a unique type of sedation, “conscious sedation” in which patients appear to be sleepy but are easily arousable, cooperative and communicative when stimulated. It is sedative and analgesic agent, with opioid-sparing properties and minimal respiratory depression.
