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Conscious sedation for balloon mitral valvotomy: A Comparison of Fentanyl Vs Sufentanil.

Phase 4
Completed
Conditions
Health Condition 1: null- Patients with Mitral Stenosis with mitral valve area 0.8-1sq.cm.
Registration Number
CTRI/2016/08/007142
Lead Sponsor
Seth G S Medical College and KEM Hospital Parel Mumbai
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

Patients with Mitral stenosis with mitral valve area of 0.8-1.0sq.cm.

Exclusion Criteria

Patients less than 15yrs and more than 45yrs.

Patients with anticipated difficult intubation

Patients with uncompensated liver and kidney disease

Patients with hemodynamic instability and congestive cardiac failure

Patients with history of bronchial asthma

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison of Fentanyl and Midazolam Infusion Vs Sufentanil and Midazolam infusion for Balloon Mitral Valvotomy with respect to <br/ ><br>1)Analgesia <br/ ><br>2)Sedation <br/ ><br>3)Patient satisfaction <br/ ><br> <br/ ><br> <br/ ><br> <br/ ><br> <br/ ><br>Comapre the efficacy <br/ ><br> <br/ ><br>Timepoint: Analgesic efficacy will be assessed from the number of bolus doses required during the procedure, inappropriate movements during the procedure and from the VAS score patients opinion one hour after the procedure. <br/ ><br>Quality of sedation was assessed during the procedure. <br/ ><br>Patient satisfaction was assessed by VAS score one hour after the procedure.
Secondary Outcome Measures
NameTimeMethod
1)Dicharge fitness <br/ ><br>2)Effect on cardiorespiratory parameters <br/ ><br>3)Respiratory complications like oxygen desaturation hypercarbia airway obstruction and snoring <br/ ><br>2)Excessive pain or distress <br/ ><br>3)Any reruns due to patients inability to lie still were noted. <br/ ><br>3)Airway obstruction <br/ ><br>4)Loss of consciousnessTimepoint: Discharge fitness was assessed two hours after the procedure. <br/ ><br>Effect on cardiorespiratory parameters was assessed throughout the procedure. <br/ ><br>Respiratory complications like desaturation hypercarbia airway obstruction chest wall rigidity due opioids were watched for throughout the procedure. <br/ ><br>Other complications like excessive pain or distress any reruns airway obstruction loss of consciousness were watched for.
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