Health Condition 1: null- Patients with Mitral Stenosis with mitral valve area 0.8-1sq.cm.
Conditions
Interventions
Intervention1: Intervention: Sufentanil: Intervention:Sufentanil and Midazolam Infusion for Conscious Sedation for Balloon Mitral Valvotomy.
Bolus dose of Sufentanil was 0.1mcg/kg and Bolus dose of M
Sponsors
Seth G S Medical College and KEM Hospital Parel Mumbai
Eligibility
Inclusion criteria
Inclusion criteria: Patients with Mitral stenosis with mitral valve area of 0.8-1.0sq.cm.
Exclusion criteria
Exclusion criteria: Patients less than 15yrs and more than 45yrs. Patients with anticipated difficult intubation Patients with uncompensated liver and kidney disease Patients with hemodynamic instability and congestive cardiac failure Patients with history of bronchial asthma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of Fentanyl and Midazolam Infusion Vs Sufentanil and Midazolam infusion for Balloon Mitral Valvotomy with respect to 1)Analgesia 2)Sedation 3)Patient satisfaction Comapre the efficacy Timepoint: Analgesic efficacy will be assessed from the number of bolus doses required during the procedure, inappropriate movements during the procedure and from the VAS score patients opinion one hour after the procedure. Quality of sedation was assessed during the procedure. Patient satisfaction was assessed by VAS score one hour after the procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Dicharge fitness 2)Effect on cardiorespiratory parameters 3)Respiratory complications like oxygen desaturation hypercarbia airway obstruction and snoring 2)Excessive pain or distress 3)Any reruns due to patients inability to lie still were noted. 3)Airway obstruction 4)Loss of consciousnessTimepoint: Discharge fitness was assessed two hours after the procedure. Effect on cardiorespiratory parameters was assessed throughout the procedure. Respiratory complications like desaturation hypercarbia airway obstruction chest wall rigidity due opioids were watched for throughout the procedure. Other complications like excessive pain or distress any reruns airway obstruction loss of consciousness were watched for. | — |
Countries
India
Contacts
Public ContactDr Shailendra Modak
Seth GS Medical College and KEM Hospital,Parel Mumbai.
Outcome results
None listed