Health Condition 1: H60-H95- Diseases of the ear and mastoid process
Conditions
Interventions
Intervention1: Monitored Anesthesia care for Modified Radical Mastoidectomy with Dexmedetomidine: The intervention group receives Dexmedetomidine. An initial intravenous bolus dose of zero point four
Sponsors
Institute of Medical Sciences, Banaras Hindu University
Eligibility
Inclusion criteria
Inclusion criteria: The inclusion criteria for the study are as follows. Patients should be between the age group of eighteen to sixty years. Only those posted for Modified Radical Mastoidectomy with Tympanoplasty under local anaesthesia with conscious sedation are eligible. Additionally, participants must belong to the American Society of Anaesthesiologists physical status classification one or two.
Exclusion criteria
Exclusion criteria: The exclusion criteria for the study include patients who refuse to participate and those who are either above sixty years of age or below eighteen years. Patients with obesity, defined as a body mass index greater than thirty four kilograms per metre square, are excluded. Also excluded are individuals with preoperative hypertension, coronary artery disease, cardiac conduction block, recent myocardial infarction within the past six weeks, or a forced expiratory volume in one second less than zero point eight. Furthermore, patients with severe renal, hepatic, or respiratory diseases, those with heart failure classified as New York Heart Association class greater than three, pregnant women, individuals dependent on oxygen therapy, and those with allergies to any of the study drugs will not be included. Patients classified under American Society of Anaesthesiologists class three or higher are also excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Satisfaction score of patient and surgeon using Likert scale Timepoint: At the time of incision, thirty minutes post operatively, one hour postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain score using VAS Anxiety score before and after procedure Sedation score using Ramsay sedation score Haemodynamic variability comparison Requirement of adjuvant drugs Timepoint: At one hour after surgery Preoperative and one hour postoperative Thirty minutes to one hour after administration Intraoperative period During the procedure | — |
Countries
India
Contacts
Public ContactDr AK Paswan
Institute of Medical Sciences, Banaras Hindu University
Outcome results
None listed