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 4, April 2018, Pages 528-535
 

Original Article

Effect of Inj. Dexmedetomidine and Inj. Clonidine on Haemodynamic Changes during Laryngoscopy &Tracheal Intubation: A Comparative Study

Abhay Raj Yadav1, Vikas Kumar Gupta2, Aditya Agarwal3

1Resident 2Assistant Professor 3Professor, Department of Anaesthesiology, Gandhi Medical College, Bhopal, Madhya Pradesh- 462001, India

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.2349.8471.5418.4

Abstract

Aim and Objectives: 1. to evaluate the effects of dexmedetomidine and clonidine on haemodynamic changes during Laryngoscopy and tracheal intubation. 2. To compare the effect of dexmedetomidine and clonidine on haemodynamic changes during Laryngoscopy and tracheal intubation. 3. To compare the side effects. 

Materials & Methods: After approval of the institutional ethical committee, this prospective observational study was conducted on 60 patients of ASA Grade I & II, undergoing elective surgeries under general anesthesia. 

Group A: Injection Dexmedetomidine 1mcg/kg diluted to 20ml with normal saline were given over 10 minutes.

Group B: Injection. Clonidine 2mcg/kg diluted to 20ml with normal saline were given over 10 minutes. 

All patients received Injection Pentazocine 0.3mg/kg and were preoxygenated for 3minute Anaesthesia was induced with thiopantone sodium (5mg/kg intravenous) till loss of eyelashreflex over 30 second and mask ventilation was confirmed. Injection succhinylcholine 1.5mg/kg was given to facilitate laryngoscopy and intubation. anaesthesia was maintained with oxygen nitrous oxide, halothane with intermittent use of injection Atracurium and controlled ventilation. At the end of surgery the neuromuscular blockade was antagonized with injection Glycopyrolate (.01mg/kg) Intavenou. And injection Neostigmine (.05mg/kg) i.v. and patient were extubated.

Result: Dexmedetomidine is more effective than Clonidine in attenuation of haemodynamic changes during laryngoscopy and intubation.

Conclusion: Dexmedetomidine significantly attenuates the haemodynamic changes during laryngoscopy and intubation. Clonidine also significantly attenuates the haemodynamic changes during laryngoscopy and intubation.Thus we conclude that Dexmedetomidine is a better drug to attenuate the haemodynamic response during laryngoscopy and intubation.

 


Keywords : Dexmedetomidine; Clonidine; Hemodynamic Response; Laryngoscopy and Orotracheal Intubation.
Corresponding Author : Vikas Kumar Gupta, Assistant Professor, Department of Anaesthesiology, Gandhi Medical College, Bhopal, Madhya Pradesh462001, India.