INTRASPACE ADMINISTRATION OF LOCAL ANESTHETIC ADMIXTURE WITH DEXMEDETOMIDINE FOR SEDATION IN MINOR ORAL SURGERY
Author(s):
Dr. Sudeep Shrivastava, Dr. Ankit Vishwakarma, Dr. Hastee Bhanushali
Keywords:
anxiolytic, dexmedetomidine & α2 adrenoceptors.
Abstract
Purpose : Pain control in dentistry is imperative for proper patient management. An anxious patient is always difficult to handle, therefore control of patient’s pain is very important which in turn reduces patient anxiety. Thus anxiolytic drugs are used in day care patient management which enhances the patient’s cooperation. One such anxiolytic is Dexmedetomidine which is a selective α2 adrenoceptor agonist. The sedative actions are believed to be mediated primarily by post synaptic α2 adrenoceptors & is less investigated for day care minor surgical procedures. This study aims at administration of dexmedetomidine as an adjunct with local anesthetic agent via pterygomandibular space and to assess its sedation effect. Thirty patients were randomly divided into two groups. Fifteen patients received inferior alveolar nerve block with 2% lignocaine with adrenaline mixed with dexmedetomidine injection for mandibular third molars extraction & rest were administered 2% lignocaine with adrenaline. Baseline vital parameters were assessed preoperatively and constant monitoring of vitals was done throughout the procedure. Sedation was assessed using Ramsay Sedation Scale. In this study thirty patients were assessed. Patients who were administered 2% lignocaine with adrenaline mixed with dexmedetomidine were found to be more cooperating intraoperatively with prolonged analgesia postoperatively in comparison to the patients receiving 2% lignocaine with adrenaline alone. The anxiety& psychomotor performance were lower & the duration of analgesia was longer in patients receiving 2% lignocaine with adrenaline mixed with dexmedetomidine
Article Details
Unique Paper ID: 152698

Publication Volume & Issue: Volume 8, Issue 4

Page(s): 70 - 73
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