Shayesta Ali¹, Malik Zafar Iqbal², Khalida Mushtaq¹ and Aamir Yousuf³*

¹Consultant, Department of Anaesthesia, GMC Anantnag, India
²Assistant Professor, Department of Aneasethesia, GMC Anantnaag, India
³Assistant Professor, ENT and HNS, GMC Anantnag, India

*Corresponding Author: Aamir Yousuf, Assistant Professor, ENT and HNS, GMC Anantnag, India.

Received: June 13, 2022; Published: July 26, 2022

Abstract

Objective: To compare the efficacy and safety of dexmedetomidine versussphenopalatine ganglion block for hypotensive anaesthesia and postoperative analgesia in Functional Endoscopic sinus surgery.

Materials and Methods: A comparative interventional study was conducted in GMC ANANTNAG over period one year. The study included 60 patients of ASA l and II randomly taken from random number table and divided into two groups with 20 patients in each group. Group D was given dexmedetomidine initially at a loading dose of 1 microgram per kg diluted in 10 ml NS infused over 10 minutes followed by infusion @0.2 - 0.7 microgram per kg per hour. Group B was given bilateral sphenopalatine ganglion block using 0.5%ropivacaine. Hemodynamic variables, surgical field visibility, intraoperative bleeding scores, surgeon satisfaction, duration of surgery, emergence time, PACU scoring, postoperative VAS scoring and time to rescue analgesia were noted.

Results: The desired MAP was achieved in both study groups, however, incidence of bradycardia and hypotension was noted more in group D. Again emergence time and sedation scores were found to be more and PACU scoring less in group D compared to group B. Time to rescue analgesia was delayed and VAS scoring was less in group B. All other parameters were comparable between two groups.

Conclusion: It was concluded in our study that sphenopalatine ganglion block is better than dexmedetomidine in maintaining more stable hemodynamic parameters, smooth recovery and postoperative analgesia than dexmedetomidine.

Keywords: Infusion; Anaesthesia; Surgery

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Citation

Citation: Aamir Yousuf., et al. “Bilateral Sphenopalatine Ganglion Block Versus Dexmedetomidine Infusion for Hypotensive Anaesthesia During Functional Endoscopic Sinus Surgery".Acta Scientific Otolaryngology 4.8 (2022): 60-66.

Copyright

Copyright: © 2022 Aamir Yousuf., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.