Comparative Evaluation Between Propofol And Ketamine-Midazolam As Procedural Sedative Agent For Ease Of Induction Of Spinal Anesthesia In Patients Undergoing Abdominal Surgeries
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 314-318
AbstractProcedural sedation is not a routine during neuraxial blocks, but it is advisable that anesthesiologists should provide their blocks comfortably. Sedation also alleviates anxiety thereby reducing autonomic fluctuations and eases induction of spinal anaesthesia and improves its quality. All American Society of Anesthesiologists Physical Status-1 patients aged between 20 years to 60 years, undergoing elective surgeries under spinal anaesthesia, who can understand and willing to give consent will be included. In our study, there is no hemodynamic variation among the two groups as we had used bolus doses of propofol and ketamine itself has positive inotropic effects. However, one patient had airway obstruction due to tongue fall once sedated and was managed with nasopharyngeal airway in Group A. This can be attributed to deeper plane of sedation due to administration of high dose of propofol as the patient’s BMI was high.
Keyword: Propofol, ketamine, midazolam
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