Induced Hypotension in Functional Endoscopic Sinus Surgery: A Comparative Study of Dexmedetomidine and Esmolol
| Autor: | Laba Kumar Nayak, Partha S Mohapatra, Baladev P Sahu, Krishna Mishra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Sedation
Analgesic hypotensive anesthesia esmolol 030204 cardiovascular system & hematology 03 medical and health sciences Otolaryngology 0302 clinical medicine Anesthesiology medicine Dexmedetomidine Induced Hypotension business.industry sedation score General Engineering dexmedetomidine fess Functional endoscopic sinus surgery emergence time hemodynamic stability Esmolol Blood pressure rebound hypertension postoperative analgesic demand Anesthesia Preventive Medicine Hemodynamic stability medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Introduction Functional endoscopic sinus surgery (FESS) is one of the common surgical procedures requiring hypotensive anesthesia; many agents have been tried to reduce the amount of blood loss. This study aims at comparing the efficacy of two agents for providing deliberate hypotension. Objectives The aim of this study was to evaluate the efficacy of esmolol and of dexmedetomidine and compare which one of the two is a better agent to produce induced hypotension during FESS. Materials and methods This was a comparative study conducted in a tertiary care hospital in Odisha, India. There were two study groups with 30 participants each who were given either esmolol or dexmedetomidine (group E and group DEX, respectively). Results Esmolol is an anti-hypertensive agent with better hemodynamic stability. The amount of drug and dose requirement was low in group DEX. The emergence time, sedation score, and time to first analgesic request were found to be highly statistically significant in group DEX. Conclusion Dexmedetomidine was found to be a better agent at controlling intra-operative blood pressure than esmolol and had beneficial effects on recovery from anesthesia and analgesia. |
| Databáze: | OpenAIRE |
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