ABSTRACT : In this study, we aimed to evaluate and compare sedative, analgesic and recovery profile dexmedetomidine and fentanyl in day care perianal surgeries as anesthetic adjuvant.

METHODS : 90 patients scheduled to have elective day care perianal surgery under general anaesthesia and ASA physical status I or II were allocated randomly into 3 groups to receive either fentanyl (A group) or dexmedetomidine (B group) or normal saline (C group). The patient sedation level (RSS) and analgesia level (VAS) was assessed. Patient was discharged to home after attaining a minimum score 9 at PADS scale. Results obtained were stastically analyzed and compared for a meaningful observation across 3 groups.

RESULTS : Sedation level and analgesia was prolonged along with fewer requirements of rescue analgesia doses in postoperative period, early readiness to go home and less complications (nausea/vomiting, shivering) was seen in B group as compared to A group and C group.

CONCLUSIONS : The use of dexmedetomidine as an anesthetic adjuvant has beneficial hemodynamic effects during perianal surgeries with better post operative analgesia and sedation than fentanyl.