Comparison of Dexmedetomidine or clonidine as adjuvant to Preemptive Thoracic Epidural Ropivacaine analgesia with propofol based TIVA in fast-track thoracic anaesthesia for open thoracic surgeries

Indian Journal of Applied Basic Medical Sciences
Year: 2021, Volume: 23(A), Issue. (1)
First page: (103) Last page: (118)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi: 10.48165/ijabms.2021.23111

Comparison of Dexmedetomidine or clonidine as adjuvant to Preemptive Thoracic Epidural Ropivacaine analgesia with propofol based TIVA in fast-track thoracic anaesthesia for open thoracic surgeries
Shivangi Patel1 and Manisha S. Kapdi2*
1Resident in anaesthesia, NHLM Medical college, Ahmedabad.
2Associate professor of Anaesthesia, NHLM Medical college, Ahmedabad.
Corresponding Author: Manisha S. Kapdi, Email:manisha_kapdi@yahoo.com

Online Published on 02-February-2021

ABSTRACT

BACKGROUND: –Thoracic surgeries are very painful, I which require adequate anaesthesia& analgesia to modulate physiological responses of pain. In present study pre-emptive use of placebo/Dexmedetomidine / clonidine with Ropivacaine based perioperative thoracic epidural analgesia.AIM & OBJECTIVES: –To use both Alpha agonists with Ropivacaine for perioperative epidural analgesia with TIVA by propofol assessment of perioperative oxygenation, awareness, total dose of propofol, fast-tracking criteria were measured.STUDY DESIGN:A randomised retrospective observational studyMETHODS:In present study 75 adult patients of ASA grade, I/II of various elective thoracic surgeries in department of cardiothoracic & vascular surgery at V.S General hospital, NHLM Medical College, Ahmedabad, Gujarat.OBSERVATIONS AND RESULTS: -Both Alpha agonists with Ropivacaine provide good RESULTS: – bolus propofol & fentanyl required to maintain BIS in comparison to Ropivacaine alone.Fast-tracking criteria were comparable & good in each Group.CONCLUSION-Thoracic epidural analgesia with Ropivacaine definitely improved recovery, & provide good Fast-tracking criteria. Thoracic epidural Dexmedetomidine or clonidine with Ropivacaine provides better perioperative analgesia and improve Postoperative analgesia than Ropivacaine alone.

Keywords

Preemptive Thoracic epidural Ropivacaine, Dexmedetomidine, Clonidine, TIVA, One lungAnaesthesia, Open thoracic surgery.

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