Background: Anesthesiologist has several approaches, including general anesthesia (GA) and regional anesthesia such as epidural; however, GA is the most commonly used technique. All these factors and many more have increased the incidence of juvenile and maturity onset diabetes on one hand and the use of hypoglycemics on the other. Aim of the study: To compare hemodynamic changes under the effect of two different local anaesthetic procedures. Materials and methods: The present study was conducted in the Department of Anesthesia of the Medical Institute. A total of 50 patients were enrolled in the study. Patients were randomly grouped into two groups, Group 1 (nerve block) and Group 2 (topical local anesthesia), with 25 patients in each group. Patients aged 18-60 years scheduled for surgical procedures under local anesthesia were included in the study. Hypertensives, patients undergoing emergency surgery, intracranial aneurysm surgery, those having significant cardiac, pulmonary, renal or hepatic disease, those having contraindication to beta blockers, or taking treatment that can affect hemodynamic parameters were excluded. Results: The mean age of subjects in Group 1 was 43.65 years and in Group 2 was 44.12 years. The mean weight of Group 1 was 70.35 kg and of Group 2 was 72.61 kg. The mean height of Group 1 was 169.65 cm and in Group 2 was 171.32 cm. Conclusion: Within the limitations of the present study, it can be concluded that topical local anesthesia and nerve block are very effective in maintaining the hemodynamic stability of the patients.
Key words: nerve block, local anesthesia, hemodynamic, anesthesia.