A Randomised Comparative Study of Dexmedetomidine v/s Fentanyl during awake Fibreoptic Nasotracheal intubation
A Randomised Comparative Study Of Dexmedetomidine V/S Fentanyl During Nasotracheal Intubation
DOI:
https://doi.org/10.70284/njirm.v8i1.1182Keywords:
Awake fibreoptic intubation, dexmedetomidine, FentanylAbstract
Introduction: AFOI is recommended in patients with anticipated difficult airway. Optimal intubating conditions, maintaining patent airway along with patient’s comfort are major hurdles. Ideal sedation regimen would provide patient comfort, obtundation of airway reflexes, hemodynamic stability, amnesia and maintenance of patent airway with spontaneous respiration. Method: 30 patients of each group with ASA grade 1 and 2 between 20-60 years were selected. Patients were divided in two groups receiving inj. Dexmedetomidine 0.5 μg/kg and inj Fentanyl 2 μg/kg respectively. Hemodynamic parameters, Success rate, Intubating conditions, sedation, hypoxial were analyzed. Results: Patients receiving dexmedetomidine had better hemodynamic stability, sedation, patient tolerance than fentanyl. Conclusion: Dexmedetomidine provide better fibreoptic intubation conditions than fentanyl however both provide optimal conditions without any significant complications. [Shah S NJIRM 2017; 8(1):116-119]
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