Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  5, Issue 3, March 2018, Pages 396-401
 

Original Article

An Observational Study to Compare Etomidate and Thiopentone as Inducing Agents in General Anaesthesia for Patients Posted under General and ENT Surgeries

Kushal Hajela1, Anuja Agrawal2, Chinar Patel3, Malini Mehta4

13rd year Resident 2Assistant Professor 3,4Professor, Department of Anesthesiology, SBKS MI & RC, Sumandeep Vidyapeeth, Piparia, Waghodia, Vadodara, Gujarat 391760.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5318.7

Abstract

Background and Objective: The clinical study was undertaken to evaluate the efficacy of Thiopentone & Etomidate with reference to time to loss of eyelash reflex, hemodynamic parameters, pain on injection, myoclonus & other side effects if any. Material and Method: Study was conducted on 60 patients (according to Solvin’s formula) of either gender, ASA I & II, 20- 60 years old, posted for elective surgeries for general surgery and Ear Nose and Throat surgery. All the patients were premedicated with inj. Fentanyl 2 mcg/kg iv slowly along with other pre medicating drugs and divided into 2 groups. Group E induced with inj. Etomidate 0.3 mg/kg iv and the group T induced with inj. Thiopentone 5 mg/kg iv. The induction time was calculated from the start of injection to the loss of eyelash reflex. The patient’s hemodynamic changes during baseline, at the time of induction and 1 min, 2 mins, 5 mins & 10 mins after the induction were recorded. Pain on injectionand myoclonus were recorded during induction and other side effects were noted. Results: Induction time was faster in Group E (23.23±5.2 seconds) when compared with group T (32.60±4.5 seconds) (p value<0.05). Hemodynamic changes were more stable in group E and Pain on injection and Myoclonus were observed only in group E (8 & 10 patients respectively). Conclusion: Etomidate causes good hemodynamic stability with rapid induction than Thiopentone.

 

 


Keywords : General Anaesthesia; Thiopentone; Etomidate; Fentanyl; Haemodynamics. 
Corresponding Author : Agrawal Anuja, Assistant Professor, Department of Anesthesiology, SBKS MI & RC, Sumandeep Vidyapeeth, Piparia, Waghodia, Vadodara, Gujarat 391760.