Archives of Anesthesiology and Critical Care، جلد ۱۰، شماره ۱، صفحات ۳-۸
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عنوان انگلیسی Comparison of Clonidine versus Esmolol in Controlled Hypotension in Patients Undergoing FESS Surgery
چکیده انگلیسی مقاله Background: FESS has its share of complications which can be a challenge for both the surgeon as well the anesthetist and achieving a bloodless surgical field is essential So the principle of controlled hypotension can be used to combat this issue. Methods: A hospital-based randomized comparative interventional study was conducted on 60 patients to compare Clonidine (2mcg/kg in 10 ml of saline over 10 minutes before induction followed by an infusion of 1mcg/kg/hr during maintenance) and Esmolol (1mg/kg in 10 ml of saline over 10 minutes before induction followed by an infusion of 1mg/kg/hr during maintenance) to assess and compare the hypotensive properties of both the drugs. Results: After the induction of anesthesia, there was a significant difference in the mean heart rate, and mean arterial pressure between the two groups throughout the intraoperative period (p-value < 0.05). Both groups achieved a target mean arterial pressure (MAP) of 65-70 mmHg and improved surgical field quality. Conclusion: This study concluded that clonidine and esmolol both provide hemodynamic stability and a better surgical field in functional endoscopic sinus surgery (FESS). Clonidine also helps in achieving postoperative sedation and analgesia.
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نویسندگان مقاله | Komal Garg
Department of Anaesthesia, SMS Medical College and Hospital, Rajasthan University of Health Sciences, Jaipur, India.


| Samridhi Nanda
Department of Anaesthesia, SMS Medical College and Hospital, Rajasthan University of Health Sciences, Jaipur, India.


| Usha Bafna
Department of Anaesthesia, SMS Medical College and Hospital, Rajasthan University of Health Sciences, Jaipur, India.


| Chandan Mali
Department of Anaesthesia, SMS Medical College and Hospital, Rajasthan University of Health Sciences, Jaipur, India.


| Sumaila Naaz
Department of Anaesthesia, SMS Medical College and Hospital, Rajasthan University of Health Sciences, Jaipur, India.


| Nelwin Sabu
Department of Anaesthesia, SMS Medical College and Hospital, Rajasthan University of Health Sciences, Jaipur, India.
نشانی اینترنتی https://aacc.tums.ac.ir/index.php/aacc/article/view/729
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