Abstract :
Introduction: Sedation has been shown to increase patient satisfaction during regional anesthesia and may be considered as a means to increase the patient’s acceptance of regional anesthetic techniques. For surgery under regional anesthesia, sedation is a valuable tool to make it more convenient for the patient, the anesthetist, and the surgeon. This study focuses sedative property of Dexmedetomidine in regional anesthesia.
Material and Method: This study was conducted in the Department of anaesthesiology, Banaras Hindu University. A randomized prospective study was conducted on 60ASA grade I and II patients of age 20 to 60 years undergoing elective gynaecological surgery. Dexmeditomidine was administered intravenously for sedation. Group A sedation was monitored by BIS and Group B by Ramsay sedation score (RSS).
Results: The induction, maintenance and total dose of Dexmedetomidine in group A was significantly less than in group B (28.77±4.44 vs 35.43±6.90, 12.24±2.70 vs 18.57±4.74, and 41.01±5.97 vs 54.00±9.62 mcg p< 0.001). Recovery time was prolonged in group B in comparison to group A (37.87±3.35 vs 22.17±3.19 mins p
Keyword :
Dexmedetomidine, BIS, RSS, Combined spinal epidural anaesthesia, Sedation