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Haemodynamic Changes and Depth of Anaesthesia with Use of Thiopentine and Ethomidate for Closed Reduction in Elderly Patients with Comorbidieties: A Randomized, Comparative Study

Jagadish M.B., Associate Professor, Dept. of Anesthesia, Gulbarga Institute of Medical Sciences, Kalaburagi, Karnataka 585101, India. , Roopa H.1 , Jagadish M.B.2

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Indian Journal of Anesthesia and Analgesia 4(3):p 838-840, July - September 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.47

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Abstract

Fractures are a known entity in old age due to various physiological changes, the most common being osteoporosis. These patients also come with an array of comorbidieties like diabetes mellitus, Hypertension, thyroid disorders or neurological problems. Such patients require emergency close reduction under anaesthesia in the emercency department or on opd basis in the casualty. The objective of our study was to compare the favourable haemodynamic changes in terms of HR, BP and MAP before, during and after the procedure using the age old thiopentone and the now easily available in India ethomidate. These procedures were restricted to fractures of upper limb requiring closed reductions.


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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.47

Keywords

Thiopentone; Ethomidate; Co-Morbidities; Hemodynamic Changes. 

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