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Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery

BACKGROUND &AIMS: The purpose of this study was to compare the safety and efficacy of monitored anaesthesia care(MAC)using dexmedetomidine with spinal anaesthesia(SA) using ropivacaine in day care varicose vein surgery in terms of patient satisfaction and postoperative ambulatory and discharge t...

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Autor principal: NannamSpandana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116856/
http://dx.doi.org/10.4103/0019-5049.340794
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author NannamSpandana,
author_facet NannamSpandana,
author_sort NannamSpandana,
collection PubMed
description BACKGROUND &AIMS: The purpose of this study was to compare the safety and efficacy of monitored anaesthesia care(MAC)using dexmedetomidine with spinal anaesthesia(SA) using ropivacaine in day care varicose vein surgery in terms of patient satisfaction and postoperative ambulatory and discharge time. METHODS: 64 patients who underwent varicose vein surgery were randomly divided into two groups.GROUP I MAC(n=32) GROUP II SA(n=32).In the MAC group, a loading dose of 1µg/kg dexmedetomidine was administered followed by 0.6µg/kg/min maintainance infusion which was then titrated according to sedation. Fentanyl was given as rescue anagesia. In the SA group ,SAwas given with 10mg of 0.5 % ropivacaine by a median/paramedian approach in L3/L4 interspace with 25G Quincke spinal needle. Patient’s satisfaction to anaesthesia and post operative ambulatory time and discharge time were recorded. RESULTS: Significantly higher verbal numerical rating scale for patient’s satisfaction to anaesthesia’ was observed in patients of Group I as compared to Group II. Ambulatory time was significantly earlier in Group I as compared to Group II .Range of ambulatory time in Group I was 2 to 5 hours while that in Group II was 4 to 6:30 hours . Group I patients were discharged earlier than Group II though significant differences were not found. CONCLUSION: Monitored anaesthesia care using dexmedetomidine with fentanyl as rescue analgesia isa better alternative for day care varicose vein surgery due to its association with better patient satisfaction and early ambulatory time and early discharge compared to spinal anaesthesia using ropivacaine.
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spelling pubmed-91168562022-05-19 Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery NannamSpandana, Indian J Anaesth Jaipur Award Abstracts:Day Care Anaesthesia BACKGROUND &AIMS: The purpose of this study was to compare the safety and efficacy of monitored anaesthesia care(MAC)using dexmedetomidine with spinal anaesthesia(SA) using ropivacaine in day care varicose vein surgery in terms of patient satisfaction and postoperative ambulatory and discharge time. METHODS: 64 patients who underwent varicose vein surgery were randomly divided into two groups.GROUP I MAC(n=32) GROUP II SA(n=32).In the MAC group, a loading dose of 1µg/kg dexmedetomidine was administered followed by 0.6µg/kg/min maintainance infusion which was then titrated according to sedation. Fentanyl was given as rescue anagesia. In the SA group ,SAwas given with 10mg of 0.5 % ropivacaine by a median/paramedian approach in L3/L4 interspace with 25G Quincke spinal needle. Patient’s satisfaction to anaesthesia and post operative ambulatory time and discharge time were recorded. RESULTS: Significantly higher verbal numerical rating scale for patient’s satisfaction to anaesthesia’ was observed in patients of Group I as compared to Group II. Ambulatory time was significantly earlier in Group I as compared to Group II .Range of ambulatory time in Group I was 2 to 5 hours while that in Group II was 4 to 6:30 hours . Group I patients were discharged earlier than Group II though significant differences were not found. CONCLUSION: Monitored anaesthesia care using dexmedetomidine with fentanyl as rescue analgesia isa better alternative for day care varicose vein surgery due to its association with better patient satisfaction and early ambulatory time and early discharge compared to spinal anaesthesia using ropivacaine. Wolters Kluwer - Medknow 2022-03 /pmc/articles/PMC9116856/ http://dx.doi.org/10.4103/0019-5049.340794 Text en Copyright: © 2022 Indian Journal of Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Jaipur Award Abstracts:Day Care Anaesthesia
NannamSpandana,
Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
title Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
title_full Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
title_fullStr Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
title_full_unstemmed Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
title_short Abstract No. : ABS3624: Comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
title_sort abstract no. : abs3624: comparison of monitored anaesthesia care using dexmedetomidine with spinal anaesthesia using ropivacaine in day care varicose vein surgery
topic Jaipur Award Abstracts:Day Care Anaesthesia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116856/
http://dx.doi.org/10.4103/0019-5049.340794
work_keys_str_mv AT nannamspandana abstractnoabs3624comparisonofmonitoredanaesthesiacareusingdexmedetomidinewithspinalanaesthesiausingropivacaineindaycarevaricoseveinsurgery