Open AccessCOMPARATIVE ASSESSMENT OF HEMODYNAMIC PARAMETERS DURING LAPAROSCOPY IN DEXMEDETOMIDINE VERSUS FENTANYL TREATED PATIENTS.
Author(s) -
S. S. Misra
Publication year - 2021
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v5i8.2057
Subject(s) - dexmedetomidine , fentanyl , medicine , hemodynamics , anesthesia , pneumoperitoneum , sedation , propofol , laparoscopy , laparoscopic surgery , surgery
Background: Laparoscopic surgery is preferred for its advantages in shorter hospital stay, less amount of blood loss and aesthetic incisions. The problems are however evident when the complications of hemodynamic disturbances are enhanced due to pneumoperitoneum. Several newer formulations have ben tried to overcome this problem so that issues of hemodynamic stability can be addressed. Aim: The present study aims to comparatively evaluate the hemodynamic effects of dexmedetomidine and fentanyl in subjects undergoing elective laparoscopic surgeries. Methodology: The study involved a subject pool of 60 patients who were divided equally in two groups and administered the study drugs. Parameters of hemodynamic stability were recorded and analysed to ascertain comparative efficacy. Observations: The mean HR, SBP, DBP, MAP and sedation score were better in dexmedetomidine group as compared to fentanyl group. Conclusion: Dexmedetomidine is an effective adjuvant to anaesthetic medications in laparoscopic surgeries with a disadvantage of longer surgery duration as compared to fentanyl.Keywords: Dexmedetomidine, Comparative evaluation, fentanyl, Laparoscopic surgeries