Abstract

Emergence agitation is a common problem in pediatric patients after general anesthesia induced by sevoflurane as reported by pediatric anaesthesiologists. Sevoflurane is widely used in pediatric anesthesia for its pharmacologic profile, which allows rapid inhalational induction and awakening from anesthesia. In our study we aim to identify the effect of Dexmedetomidine in reducing sevoflurane induced emergence agitation and postoperative pain scores in children. MATERIAL AND METHODS :The study was conducted after approval from ethics committee. 60 children posted for ENT surgery were included after informed written consent from parents/guardians. Patients were randomly divided into two groups (A& B). General anesthesia was induced with sevoflurane 2- 3% and 20 minutes before the end of surgery Injection Dexmedetomidine 0.75mg/Kg diluted in 10 ml NS was given slowly over 10 minutes in group A and in group B patients received 10ml NS was given over 10 minutes. After extubation, both the groups were compared for EA and postoperative pain scores based on PAEDS score and FLACC score. RESULTS: Significant difference was found in HR at the time of extubation which was significantly less in group A. PAEDS score and FLACC score were significantly less in group A compared to group B(p<0.05). CONCLUSION: Dexmedetomidine is an effective drug in reducing sevoflurane induced Emergence Agitation and postoperative pain in children

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