Efficacy of dexmedetomidine versus nitroglycerin for maintenance of hemodynamic variables during dental surgeries
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 2
Abstract
Aim: Is to find the effectiveness of dexmedetomidine versus nitroglycerin to provide hemodynamic stability during dental surgeries. Methods: Forty ASA I and II patients undergoing dental surgeries were randomly allocated into two groups of 20 each: Nitroglycerine (Group NTG) and Dexmedetomidine (Group DEX). Group NTG received infusion of nitroglycerine at a rate of 1-10 μg/kg/min & group DEX received infusion of dexmedetomidine at a rate of 0.2- 0.7 μg/kg/hr after a bolus dose of 1 μg/kg. Results: There was better control of hemodynamic variables during intraoperative period in dexmedetomidine group in comparison to nitroglycerine group. There was significant difference in mean changes of heart rate and blood pressure from baseline value at all points of study between both the groups except just before the intubation when both the groups were comparable. Conclusion: Dexmedetomidine was superior to nitroglycerin for maintenance of hemodynamic variables during dental surgeries.
Authors and Affiliations
Roopal Rambhai Garaniya, Vaishali Gautam
Keywords
Related Articles
- EP ID EP312749
- DOI 10.18231/2394-4994.2017.0048
- Views 90
- Downloads 0
Anesthesia for neurosurgery (Part II)
The central nervous system 40CNS41 deserves special consideration in the perioperative setting for several reasons for an anesthetist An understanding of neuroanatomy is essential because neuro anesthesia continues to de...
Comparative evaluation of the clinical efficacy of 0.5% levobupivacaine and 0.5% racemic bupivacaine in epidural anaesthesia for elective varicose vein surgery
Background and Aim: Racemic bupivacaine is known to be the most cardio toxic among the amide local anaesthetic. In search of an alternative it was found that the levo enantiomer has a better safety profile. This purpose...
Efficacy of intrathecal α2 agonists as adjuvants with low dose of levobupivacaine for lower limb surgeries in elderly patients
Introduction: Elderly orthopedic patients are frequently associated with systemic co morbidities like cardiac, pulmonary or endocrinal disorders. Regional anaesthesia has benefits over general anaesthesia in elderly. But...
Comparison of epidural bupivacaine-fentanyl and ropivacaine-fentanyl for postoperative analgesia in major abdominal surgeries - a prospective, randomised study
Introduction and Aims: The pain after major abdominal surgeries, if treated inadequately, may lead to increased postoperative morbidity and delayed recovery. The present study aims to compare continuous epidural infusion...
Assessment of efficacy of intravenous fentanyl citrate for attenuation of hemodynamic responses during laryngoscopy and endotracheal intubation
Introduction Laryngoscopy and intubation result in stimulation of larynx pharynx epipharynx and trachea which are extensively innervated by autonomic nervous system The parasympathetic supply is via the vagus and sympath...