A Comparative Study of Dexmedetomidine and Clonidine as Adjuvant to Propofol for Insertion of Laryngeal Mask Airway
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 2
Abstract
Objective:To evaluate theease of insertion ofLaryngeal Mask Airway (LMA) and hemodynamic response during insertion of LMA with two adjuvants, dexmedetomidine & clonidine along with induction agent propofol. Methods: Hundred patients scheduled for elective surgical procedures were recruited in this study. The hemodynamic effects and ease of insertion of LMA with adjuvants, dexmedetomidine & clonidine with propofol was compared. The hemodynamic responses were assessed byheart rate, non-invasive blood pressure, respiratory rate and oxygen saturation. The overall conditionof patient was assessed according to modified scheme of Lund and Stovener. The condition of insertion was assessed as jaw relaxation and response to LMA insertion in the form of coughing, gagging, laryngospasm and involuntary limb movements. Results: The incidence of coughing, gagging, laryngospasm and involuntary limb movements were comparable in both the group, whereas, jaw relaxation, overall insertion condition and hemodynamic responses were better {p value for heart rate:<0.001} in dexmedetomidine group.Conclusion: Dexmedetomidine as an adjuvant to propofol provides better LMA insertion conditions, fewer side effects & prevent hemodynamic response to LMA insertion compared to clonidine.
Authors and Affiliations
Allauddin Farooqy
Mechanical Complications during Insertion of Central Venous Catheter in Subclavian Vein and Internal Jugular Vein: A Comparative Study
Background: Central venous catheters (CVC) are an essential component of modern critical care. They allow delivery of medications, intravenous fluids, parenteral nutrition, hemodialysis and monitoring of hemodynamic vari...
Evaluation of Intrathecal Dexmeditomedine as an Adjuvant to Hyperbaric Bupivacaine in Gynaecological Surgeries
Background: Intrathecal dexmeditomedine is being used as an adjuvant to the local anesthetic agents. Dexmeditomedine has sedative and analgesic action. This study was carried out with the aim to observe and compare the o...
A Comparative Study between Intrathecal Bupivacaine with Clonidine vs Bupivacaine with Neostigmine for Vaginal Hysterectomies: A Randomized Double Blinded Study
Introduction: Vaginal hysterectomy is the most common surgery done under spinal anaesthesia. The combination of local anaesthetics with adjuvants is getting more popular for better post-operative analgesia. Aim: The pur...
Real-time Ultrasound-guided Catheterisation of the Internal Jugular Vein: A Prospective Comparison with the Landmark Technique
Central venous access has become a mandatory part for clinical management of critically ill patients, both in acute care setting and chronic long term care. However, anatomical landmark guided technique for IJV cannualat...
A Comparative Study of Epidural Dexmedetomidine and Clonidine as Adjuvant to 0.2% Isobaric Ropivacaine for Post Operative Analgesia in Lower Limb Orthopaedic Surgeries
Background: Various adjuvants are being used with local anesthetics for prolongation of analgesia like opioids, but the onset and duration of analgesia is improved when a local anesthetic is combined with alpha2 adrenerg...