International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
E-ISSN: 2664-3774
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International Journal of Medical Anesthesiology

2020, Vol. 3, Issue 4, Part B
Efficacy of dexmedetomidine on postoperative analgesia & sedation in children undergoing adenotonsillectomy


Author(s): Dr. CR Murali Govardhan

Abstract:
Background: Adenotonsillectomy is a common surgical procedure in pediatric population, but post-operative pain management is a challenging concern for anaesthetist. The present study was designed to assess the efficacy of dexmedetomidine on post-operative sedation and analgesia in paediatric cases undergoing adenotonsillectomy.
Materials and methods: A total 80 pediatric cases undergoing adenotonsillectomy between age group 4-9 years belong to ASA grade I and II were recruited. Study consists of two groups i.e. group 1 with 1mcg/kg Dexmeditomidine and group 2 with 2 mcg/kg fentanyl. Parameters like heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), requirement of post-operative analgesia and sedation assessed by Ramsay sedation score & CHEOPS score and emergence agitation were assessed.
Results: The mean heart rate was significant between two study groups at the beginning, 5 min, 15 min, 20 min and at 25 min (p<0.005). The mean SBP in group 1 was high at the beginning, later the values were decreased when compared group 2. However, the mean DBP in group 1 was low when compared to the group 2 at all-time intervals. The mean Ramsay sedation score difference was statistically significant among two study groups at the beginning, 5 min, 10 min, 15 min and 45 min (p<0.005). The requirement of additional rescue doses were noticed more in group 2.
Conclusion: Dexmedetomidine was effective in maintaining intraoperative heart rate, systolic blood pressure and diastolic blood pressure. Dexmedetomidine is an effective and safe analgesic substitute to fentanyl intra-operatively and reduces the requirement of postoperative rescue opioid. Dexmedetomidine was more effective in preventing emergence agitation, avoiding severe pain and reducing incidence of postoperative nausea and vomiting.


DOI: 10.33545/26643766.2020.v3.i4b.168

Pages: 78-82 | Views: 21 | Downloads: 16

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How to cite this article:
Dr. CR Murali Govardhan. Efficacy of dexmedetomidine on postoperative analgesia &amp; sedation in children undergoing adenotonsillectomy. Int J Med Anesthesiology 2020;3(4):78-82. DOI: 10.33545/26643766.2020.v3.i4b.168
International Journal of Medical Anesthesiology