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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comparative Study on the Effects of Oral Premedication with Clonidine and Metoprolol on Intraoperative Hemodynamics and Surgical Conditions During Functional Endoscopic Sinus Surgery in a Tertiary Care Hospital

R. Kavitha, M. Yoganandh and A. Shafudeen
Page: 451-454 | Received 20 Mar 2024, Published online: 13 May 2024

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Abstract

Normal sinus function and ventilation are the aims of functional endoscopic sinus surgery, or FESS. A small amount of bleeding could obstruct the surgical field and cause further problems. According to earlier research, intravenous clonidine helps patients undergoing FESS achieve controlled hypotension by minimising intraoperative blood loss, lowering the need for additional hypotensive medications, enhancing the surgical field and providing good analgesia with negligible side effects. In a tertiary care hospital, the purpose of this study is to evaluate the effects of metoprolol and clonidine on intraoperative hemodynamics and surgical conditions during functional endoscopic sinus surgery. 50 patients, both male and female, between the ages of 18 and 60, who met the ASA I and II criteria and who had undergone FESS at the Government Medical College and Hospital in Dindigul's ENT department and were willing to take part in the study were included. Two groups of twenty‐five patients each‐Group C and Group M‐were assigned to the patients. Two hours prior to surgery, patients in Group M and Group C received premedication via a closed‐envelop method (T. metoprolol 25 mg and T. clonidine 150mcg, respectively). The category scale was used to assign grades to the surgical field. The reduction in HR and MAP was statistically significant. Patients in Group C displayed a lower category scale than those in Group M. From this study we can conclude that T. Clonidine 150mcg, 2 hours prior to surgery provided a better surgical field than T. Metoprolol 25mg given at the same time prior to surgery.


How to cite this article:

R. Kavitha, M. Yoganandh and A. Shafudeen. A Comparative Study on the Effects of Oral Premedication with Clonidine and Metoprolol on Intraoperative Hemodynamics and Surgical Conditions During Functional Endoscopic Sinus Surgery in a Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.451.454
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.451.454