Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Randomly selected patients admitted in ENT ward with nasal pathology belonging to American Society of Anaesthesiologists (ASA)status I and II, aged between 18 and 55 years of either sex and willing to give written consent will be included in the study
Exclusion criteria
Exclusion criteria: Patient refusal Any known hypersensitivity or contraindication to esmolol, dexmedetomidine,nitroglycerine,fentanyl Uncontrolled hypertension Cardiovascular diseases including conduction disturbances Renal or hepatic dysfunction Coagulation disorders Patients on medications affecting coagulation system Pregnant or lactating mothers Paediatric patients Patients on calcium channel blockers Patients with history of significant neurological, psychiatric or neuromuscular disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative blood lossTimepoint: After induction of anaesthesia, every 15mins for first hour and every 30 mins thereafter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of surgery, duration of controlled hypotension (min), number of patients treated with fentanyl (%), min fentanyl dose per patient (mcg), number of patients treated with nitroglycerine,min nitroglycerine used per patient (mg), hemodynamics intraoperatively,oxygen saturation (spo2) during controlled hypotension and any other adverse effects during study periodTimepoint: Hemodynamic monitoring will be recorded preoperatively, after induction of anaesthesia, after intubation,every 15 mins for the first hour and every 30 mins thereafter and after extubation | — |
Countries
India
Contacts
I.P.G.M.E.R., S.S.K.M. Hospital