Year: 2025
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Background : Anxiety during spinal anesthesia can exacerbate hemodynamic instability. Midazolam is commonly used for sedation, but external factors like bright lights and a busy operating environment may increase patient discomfort and sedative requirements. This study evaluates whether the use of an eye mask can reduce midazolam requirements during spinal anesthesia. Study Population:Adult age group between 18 year to 80 years divide randomly among two group ,one masked group and other unmasked group. Aims: To assess the effect of eye mask use on midazolam requirements and sedation quality during spinal anesthesia. Methods: After intrathecal injection of 10–14 mg of 0.5% hyperbaric bupivacaine, patients were positioned supine. Sensory block was confirmed at 20 minutes. Sedation was assessed using the Modified Observer’s Assessment of Alertness/Sedation (MOAA/S) scale after administering 1 mg IV midazolam every 5 minutes until a score of 3 was reached or up to 35 minutes. Total dose and time to reach MOAA/S score 3 were recorded Result: The finding was the significantly lower mean midazolam requirement in the masked group (2.06 ± 0.55 mg) compared to the unmasked group (3.14 ± 0.59 mg), with a highly significant p-value (< 0.001).Sedation onset time was notably shorter in the masked group (9.1 ± 2.98 min) compared to the unmasked group (13.3 ± 3.53 min), again statistically significant (p < 0.001). Conclusion:By masking the external factors the requirement of midazolam shows significant decrease in spinal anaesthesia block compare to those without face mask.
DOI: 10.53555/8qqx4q91
Author: Dr Samreen Azim
Institution: Sher-i-Kashmir Institute of Medical Sciences
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413939619