Conscious Sedation With Dexmedetomidiine Midazolam Infusion In Patients With Inyrathecal Bupivacaine For Infraumbilical Surgeries

ABSTRACT

Background:spinal anesthesia is very much common regional anesthesia. Assurance and conscious sedation is required to make patients calm and co-operative. We have also assessed effect of dexmedetomidine/ midazolam infusion on sensorimotor characteristics ofspinal bupivacaine. Material and methods: We selected 50patients for the study, 25 in each group.Group-DReceived a loading dose of I.V dexmedetomidine 0.5mcg/kg by infusion pump over 10 min + 0.5mcg/kg/hr infusion till the end of surgery.Group-M Recieved a loading dose of I.V midazolam 0.02mg/kg by infusion pump over 10 min + 0.04mg/kg/hr infusion till the end of surgery. Observation The pulse rate & SBP in group D was significantly lower as compared to group M from 10 minutes to 120 minutes after subarachnoid block. Significant difference was seen between group D and group M. There was no statistically significant change in pulse rate between 120mins to 24 hrs postoperatively between the groups.