THE STUDY OF DEXMEDETOMIDINE AND FENTANYL FOR EPIDURAL ANALGESIA FOR LOWER LIMB ORTHOPEDIC SURGERY.

Author:

Kumar Satyendra1,Prasad Rajendra2,Kumar Nirmal3,Jana Debarshi4

Affiliation:

1. Senior Resident, Department of Anesthesiology, Vardhman Institute Of Medical Sciences, Pawapuri, Nalanda, Bihar-803115.

2. Associate Professor, Deptt of Anesthesiology, Vardhman Institute Of Medical Sciences, pawapuri, Nalanda, Bihar-803115.

3. Assistant professor, Deptt Of Anesthesiology, Vardhman Institute Of Medical Sciences, Pawapuri, Nalanda, Bihar-803115.

4. IPGMER and SSKM Hospital, Kolkata.

Abstract

Aim:Comparative evaluation of dexmedetomidine and fentanyl for epidural anaesthesia in lower limb orthopedic surgery. Methods: Patients undergoing lower limb orthopaedic surgery aged between 21 to 50 years. For statistical analysis data were entered into a Microsoft excel spreadsheet and then analyzed by SPSS (version 27.0; SPSS Inc., Chicago, IL, USA) and GraphPad Prism version 5. Result: Difference of mean age with both groups was not statistically signicant (p=0.217). Difference of mean duration of surgery with both groups was not statistically signicant (p<0.001).Difference of mean onset time of sensory block (at T10) with both groups was statistically signicant (p<0.001). Difference of mean time of onset of moter block with both groups was statistically signicant (p<0.001). Conclusion: Dexmedetomidine seems to be a better alternative to fentanyl for epidural anaesthesia because of intense analgesia, better quality of motor block and prolong post op analgesia, along with higher sedation scores.

Publisher

World Wide Journals

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