Pratibha SD , K. Nirmala Devi1 , Pratibha SD2 , Renuka Holyachi3
K. Nirmala Devi, Pratibha SD, Renuka Holyachi. A Randomized Clinical Trial to Compare the Efficacy of Dexmedetomedine and Magnesium Sulphate for Attenuation of Pressor Response in Abdominal Laproscopic Surgeries. Indian J Anesth Analg. 2019;6(3):749-754.
Objectives: To evaluate the response of dexmedetomidine and magnesium sulphate for attenuating stress response in laparoscopic abdominal surgeries. Material and methods: Patients of ASA grade I and II aged between 20 and 60 years, either gender and who underwent elective laparoscopic abdominal surgeries were included in the study and divided into two groups, group D (n=52) and group M (n=52). Group D patients received Inj dexmedetomidine 1 µg/kg bolus for 15 min followed by 0.2-0.4 µg/kg /hr infusion and group M patients received inj magnesium sulphate 2g bolus for 15 min followed by 12-15 mg/kg/hr infusion. Intraoperative hemodynamic parameters like Heart rate, mean arterial pressure were recorded and emergence time, extubation time and sedation scores were assessed. Results: Heart rate and Mean arterial pressure were significantly low in group D compared to group M. Recovery time and sedation score was significantly higher in group M compared to group D. Time to reach Aldrete score ≥ 9 was significantly more in group M compared to group D. Conclusion: Dexmedetomidine and Magnesium sulphate attenuated stress response to surgery and pneumoperitoneum. Dexmedetomidine had better hemodynamic stability compared to Magnesium sulphate. Early post operative recovery was found in dexmedetomidine group.
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K. Nirmala Devi, Pratibha SD, Renuka Holyachi. A Randomized Clinical Trial to Compare the Efficacy of Dexmedetomedine and Magnesium Sulphate for Attenuation of Pressor Response in Abdominal Laproscopic Surgeries. Indian J Anesth Analg. 2019;6(3):749-754.
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