A COMPARISON OF EFFECTS OF DEXMEDETOMIDINE VERSUS MIDAZOLAM-FENTANYL ON POST-OPERATIVE RECOVERY, SEDATION, ANALGESIA AND HEMODYNAMIC PARAMETERS IN PATIENTS UNDERGOING MIDDLE EAR SURGERY UNDER LOCAL ANESTHESIA

Objective: The objective of the study was to compare effects dexmedetomidine versus midazolam-fentanyl on post-operative recovery, sedation, analgesia, and hemodynamic parameters in patients undergoing middle ear surgery under local anesthesia. Methods: Seventy-two were randomly divided into two equal groups - Group D (dexmedetomidine) MF (midazolam fentanyl). Intra operative heart rate, mean blood pressure, respiratory rate (RR), SPO2 recorded every 15 min for 1st 30 then at interval till end surgery. In period, parameters, Aldrete score pain assessed patient discharged from post anesthesia care unit (PACU). Post-operative sedation checked 1 h, 2 4 8 h. Observations: Midazolam fentanyl combination caused more fall scores as compared initially, but readiness discharge PACU similar both groups. Patients group had significantly higher op overall duration Post-op patients, 1.5 More number demanded rescue analgesia PACU. Both drugs changes during produced less decline RR oxygen saturation midazolam combination. Conclusion: present concluded that seems be a better alternative plus surgeries done due lesser derangement period.