Comparison of Tympanoplasty under General Anaesthesia and Monitored Anaesthesia Care with Dexmedetomidine
Comparison of Tympanoplasty under General Anaesthesia and Monitored Anaesthesia Care With Dexmedetomidine
DOI:
https://doi.org/10.70284/njirm.v8i4.1270Keywords:
Monitored anaesthesia care, Dexmedetomidine, General anaesthesia, TympanoplastyAbstract
Introduction: Tympanoplasty for the surgical correction of chronic suppurative otitis media is one of the most comman ENT surgical procedures. This surgery can be done both under general anaesthesia and local anaesthesia with sedation. Dexmedetomidine is said to have both analgesic and sedative properties. The aim of this study is to compare the results of monitored local anaesthesia with dexmedetomidine with general anaesthesia in patients undergoing tympanoplasty to find out the better efficacious anaesthesia for this surgery. Methods: 100 patients were planned for tympanoplasty were taken up for this study. 50 patients were operated under general anaesthesia and remaining 50 patients were operated under monitored local anaesthesia with dexmedetomidine. The results were evaluated intraoperatively and postoperatively for duration of surgery, hemodynamic stability and complications. Patient’s and surgeon’s satisfaction was also evaluated. Results: The results showed that there was lesser operating time, lesser complications and more hemodynamic stability in patients operated under monitored anaesthetic care with dexmedetomidine than under general anaesthesia. There was better surgeon and patient satisfaction in dexmedetomidine group and there was no requirement of general anaesthesia afterward. Conclusion: It can be concluded that dexmedetomidine is a safe and effective sedative for tympanoplasty done under monitored local anaesthesia and can be preferred method of choice over general anaesthesia. [Jagruti S NJIRM 2017; 8(4):6-9]
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