دورية أكاديمية
Effect of adjunctive dexmedetomidine on anesthesia and analgesia requirement and recovery characteristics during Bispectral Index-guided anesthesia for cerebello-pontine angle surgeries: A randomized clinical trial
| العنوان: | Effect of adjunctive dexmedetomidine on anesthesia and analgesia requirement and recovery characteristics during Bispectral Index-guided anesthesia for cerebello-pontine angle surgeries: A randomized clinical trial |
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| المؤلفون: | Dhritiman Chakrabarti, Sriganesh Kamath, K R Madhusudan Reddy, Deepti B Srinivas, Nitin Manohar, Dheeraj Masapu |
| المصدر: | Journal of Anaesthesiology Clinical Pharmacology, Vol 34, Iss 4, Pp 496-502 (2018) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Anesthesiology LCC:Pharmacy and materia medica |
| مصطلحات موضوعية: | Bispectral index, cerebello-pontine angle, dexmedetomidine, Anesthesiology, RD78.3-87.3, Pharmacy and materia medica, RS1-441 |
| الوصف: | Background and Aims: The study was conceived to elucidate the effects of dexmedetomidine as an anesthetic adjunct to propofol (total intravenous anesthesia) on anesthetic dose reduction and anesthesia recovery parameters in cerebello-pontine angle (CPA) surgeries. Material and Methods: This prospective randomized study was conducted on 49 patients (25 with dexmedetomidine, 24 without). After standardized anesthetic induction, anesthesia was maintained using propofol (via target controlled infusion, titrated to maintain BIS between 40 and 60), fentanyl (0.5 μg/kg/hour) and either dexmedetomidine (0.5 μg/kg/hour) or a sham infusion. Neuromuscular blocking agents were excluded to allow cranial nerve EMG monitoring. Adverse hemodynamic events, recovery parameters (time to opening eyes, obeying commands, and extubation) and postoperative sedation score, shivering score, nausea, and vomiting score were recorded. Results: Propofol and fentanyl utilization (as total dose, adjusted for duration of surgery and body weight, and number of extra boluses) was significantly lower in the dexmedetomidine group. There was no difference in any of the recovery parameters between the two groups. Incidence of bradycardia was significantly higher with dexmedetomidine, while no difference was found for hypotension, hypertension, and tachycardia. Conclusion: Dexmedetomidine–fentanyl–propofol anesthesia compares favorably with fentanyl–propofol anesthesia during CPA neurosurgical procedures with regard to anesthesia recovery times, but with lower intraoperative opioid and hypnotic utilization rates. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0970-9185 |
| Relation: | http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=4;spage=496;epage=502;aulast=Chakrabarti; https://doaj.org/toc/0970-9185 |
| DOI: | 10.4103/joacp.JOACP_55_18 |
| URL الوصول: | https://doaj.org/article/7c0392a8c28644129aae860c12ea787a |
| رقم الأكسشن: | edsdoj.7c0392a8c28644129aae860c12ea787a |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09709185 |
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| DOI: | 10.4103/joacp.JOACP_55_18 |