Background: Laparoscopic cholecystectomy (LC) is associated with pneumoperitoneum and hemodynamic disturbances. Pregabalin and Clonidine have been used for anesthetic effects, but a better drug for controlling hemodynamic parameters is being investigated. Aims: The study was done to assess and compare the efficacy of preoperative single oral dose of pregabalin and clonidine in maintaining the hemodynamic parameters in the LC. Settings and Design: The prospective, interventional, randomized, comparative, single-blinded study was conducted in the department of anesthesia and surgery from January 2015 to September 2016 after taking approval from the institutional ethical committee. Materials and Methods: The study included a total of 90 patients, aged between 18 and 56 years of both sexes scheduled for elective LC. Patients were randomized into three groups of 30 each who received oral pregabalin 150 mg, clonidine 200 ug, and placebo. The hemodynamic parameters were recorded at various time intervals along with any adverse events. Statistical Analysis: Quantitative variables were compared using unpaired t -test (when the data sets were not normally distributed) between the two groups. Qualitative variables were compared using Chi-square test/Fisher's exact test. P < 0.05 was considered statistically significant. Results: There was a significant increase in the heart rate (HR) and systolic, diastolic, and mean blood pressure during laryngoscopy and pneumoperitoneum in the control group as compared to both pregabalin and clonidine. HR was significantly lower in clonidine group after extubation and in postoperative period than both control group and pregabalin group. There was no major difference in the incidence of side effects. Conclusion: Both pregabalin (150 mg) and clonidine (200 ug) were effective in controlling the hemodynamic parameters during LC, with clonidine providing better hemodynamic stability than Pregabalin.
Direct laryngoscopy and endotracheal intubation are associated with increase in sympathoadrenal activity results in hemodynamic instability. Many strategies were used to attenuate this response. Dexmedetomidine is one of the primary drug being used for this purpose. This study was designed to compare the effect of intravenous 0.5μg/kg, 0.75μg/kg, 1μg/kg dexmedetomidine to laryngoscopy and intubation. This study was conducted on 75 patients allotted into 3 groups 25 patients each. Group A -Inj. Dexmedetomidine 0.5 µg/kg. B - 0. 75µg/kg. C- 1µg/kg. vitals, sedation score were observed. After giving Inj. dexmedetomidine in a dose of 0.5,0.75 and 1 μg/kg change in HR at 10 minutes after laryngoscopy and intubation was 5.47%, 10.80% and 18.38% respectively, change in the SBP was 7.71%,14.69%,16.96% respectively, change in the DBP was 6.96%,13.40%,18.01%. We have found that effective dose to blunt the hemodynamic response to laryngoscopy &intubation is 0.5 μg/kg.
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