A comparative study of Dexmedetomidine versus midazolam with fentanyl for monitored anaesthesia care in tympanoplasty under local anaesthesia

2019 ◽  
Vol 10 (2) ◽  
pp. 152-156
Author(s):  
Jigisha Badheka ◽  
◽  
Pratik M Doshi ◽  
Peram Shrividhya ◽  
Jaykishan Gol ◽  
...  
Keyword(s):  
Comparative Study ◽  
Local Anaesthesia ◽  
Anaesthesia Care

scholarly journals Monitored anaesthesia care in elderly patient - a prospective descriptional study

2014 ◽  
Vol 23 (1) ◽  
pp. 19-24
Author(s):  
Abdullah Al Maruf ◽  
Kazi Ashkar Latif ◽  
Iqbal Hossain Chowdhury ◽  
Md Mustafa Kamal
Keyword(s):  
Elderly Patients ◽  
Local Anaesthesia ◽  
Anaesthetic Techniques ◽  
Serious Adverse Events ◽  
Intraoperative Care ◽  
Anaesthetic Agents ◽  
The Common ◽  
The Mean ◽  
Anaesthesia Care ◽  
Almost All

Background: In elderly patients for some diagnostic, therapeutic and surgical procedure, Monitored anaesthesia care (MAC) may be an anaesthetic option for them. Aim and objective: This prospective study was designed to assess the efficacy, safety, and tolerability of MAC in elderly patients. Method: This study was performed on elderly patients of both sex, age from 50 years and above, scheduled to undergo different therapeutic, diagnostic and surgical procedures. The patient’s characteristics, pre-anaesthetic problems, anaesthetic techniques, anaesthetic agents, anesthetic time, MAC procedure and complications were assessed. Result: They involved mainly hypertension (26.49%) and diabetes mellitus (21.78%). Almost all procedure was done under sedation (70.38%), local anaesthesia (22.71%) and under only monitoring without sedation or local anaesthesia (6.90%). There were no serious adverse events reported in any patients during MAC. The common complications were arrhythmia (9.60%), vomiting (7.36%) and desaturation (4.56%), hypertension (5.64%). Complications were minor, transient and promptly managed and corrected. MAC duration was ranged from 15 to180 minutes. The mean procedure time was 35.1 + 12.5 minutes. Majority of cases were completed within 30 minutes (51.21%). Conclusion: In properly selected elderly patients, MAC is a safe and effective method of providing intraoperative care for some common diagnostic, therapeutic, and operative procedures. DOI: http://dx.doi.org/10.3329/jbsa.v23i1.18154 Journal of BSA, 2010; 23(1): 19-24

scholarly journals A comparative study of Lichtenstein hernioplasty performed under spinal anaesthesia versus local anaesthesia in treatment of unilateral inguinal hernia

2019 ◽  
Vol 6 (10) ◽  
pp. 3773
Author(s):  
Siddhabrata Besra ◽  
Pradip Kumar Mohanta ◽  
Chinmoy Mallik ◽  
Noor Hassan Hussian ◽  
Subikash Biswas ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Comparative Study ◽  
Urinary Retention ◽  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Standard Procedure ◽  
Lichtenstein Hernioplasty ◽  
Randomized Clinical Study

Background: Lichtenstein mesh repair technique is widely used throughout the world in inguinal hernia repair. Hernioplasty done under local anaesthesia certainly has some benefits but it is yet to be proven as standard procedure. The aims of this study are to provide the data of a comparative study between Lichtenstein hernioplasties done under local versus spinal anaesthesia as well as add more data in this scenario.Methods: In this non randomized clinical study, 84 patients were selected by calculation of sample size. 42 patients were operated under spinal anaesthesia and another 42 were operated under local anaesthesia.Results: Mean duration of operation was slightly was slightly more in local anaesthesia i.e. 62.5 minutes (SD=17.8) versus 51.1 minutes (SD=21.5) in spinal anaesthesia. At 6 hours, 12 hours and 24 hours postoperative pain was significantly less in local anaesthesia group in comparison to spinal anaesthesia group with p=0.04, p=0.042, p=0.041 respectively. Postoperative complications like urinary retention, hypotension, and headache were more in spinal anaesthesia than in local anaesthesia. Duration of hospital stay was significantly less in local anaesthesia group i.e. 24.5 hours (SD=12.8) in comparison to spinal group 57.1 hours (SD=16.7).Conclusions:The study concludes that in local anaesthesia group, postoperative pain was significantly less and postoperative complications like urinary retention, headache, and hypotension were less evident compared to spinal anaesthesia. Hence the study concludes that local anaesthesia can be used as an alternative of spinal anaesthesia as a standard mode of anaesthesia for Lichtenstein hernioplasty operation.  

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