Abstract :
Background: A comfortable co-operative stationary patient is essential for cataract surgery especially under retrobulbar block. This can be achieved by placing the patient under ‘conscious sedation’ in which the patient will be arousable but at the same time can tolerate pain.
Aim: To compare the efficacy of midazolam with dexmedetomidine for conscious sedation in cataract surgery with regard to anxiolysis, patient’s cooperation, haemodynamic stability, surgeon’s satisfaction, recovery profile and incidence of complications.
Materials and Methods: 90 adult patients undergoing cataract surgery were randomized to three groups. Group M (n=30) patients received midazolam in loading dose of 0.03mg/kg over 10 minutes and a maintenance dose of 0.05mg/kg/hr. Group D (n=30) patients received dexmedetomidine in loading dose of 0.3mcg/kg over 10 minutes and a maintenance dose of 0.3µg/kg/hr. Group C (n=30) are control group receiving normal saline infusion as loading and maintenance doses. Statistical analysis was done using Chi-square test and ANOVA test with p value
Keyword :
Conscious sedation, Retrobulbar block, Dexmedetomidine, Midazolam, Cataract surgery