Abstract

Functional endoscopic sinus surgery (FESS) is one of the common surgical procedures requiring hypotensive anesthesia; many agents have been tried to reduce the amount of blood loss. Its introduction associated with enhanced illumination and visualization has dramatically improved surgical dissection. This study aims to compare the hemodynamic effects of intraoperative propofol infusion or sevoflurane inhalation along with dexmedetomidine. Methods: This study was a prospective comparative observational study conducted in the Department of anaesthesiology, Burdwan Medical College & Hospital, Burdwan, West Bengal, India from May 2020 to July 2021. 26 patients each in two groups i.e. observational group and another group received propofol infusion were included in the study. A suitable predesigned pretested Proforma for data collection was prepared. Routine Obstetric, menstrual, relevant past, personal and family history were also elicited. Template was generated in MS excel sheet and analysis was done on SPSS software. Results: In the present study in P Group, 8(30.8%) patients were ≤30 years old, 6(23.1%), In S Group, 6(23.1%) patients were ≤30 years old. In P Group, 12(46.2%) patients were Female and 14(53.8%) patients were male. In S Group, 12(46.2%) patients were Female and 14(53.8%) patients were male. The data collected from both the observational group shows, “Gr.S” has better (statistically significant) control of SBP, DBP, and MAP in some selective point of time than “Gr. P”. However, the quality of surgical field (assessed by SFR scale) is equally favourable in both Gr. S and Gr. P. There were no statistically significant variations between the groups in case of other perioperative data such as HR, BIS etc. Conclusions: hemodynamic effects are better in sevoflurane Group compared to propofol Group for induced hypotension in a background of loading dose of dexmedetomidine (as premedication) in FESS.

Description