The hemodynamic and analgesic profi le of dexmedetomidine against fentanyl in preeclamptic parturients undergoing cesarean section under general anesthesia
المؤلفون المشاركون
al-Saqqa, Ahmad
Hilmi, Jihan
Rafat, Hibah
Hilmi, Nadiyah
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 2 (30 يونيو/حزيران 2015)، ص ص. 183-188، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-06-30
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
The aim of the study was to evaluate the effect of dexmedetomidine against fentanyl infusions on stabilizing intraoperative and postoperative hemodynamic parameters; the study also aimed to detect the effect of dexmedetomidine on postoperative pain and analgesic requirements and the neonatal outcome in preeclamptic parturients undergoing Cesarean section under general anesthesia.
Patients and methods The study was conducted on 100 female preeclamptic parturients scheduled for elective Cesarean section under general anesthesia in the Kasr Elainy school of medicine.
Patients were allocated randomly into two groups: group F, fentanyl group (n = 50); group D, dexmedetomidine group (n = 50).
During surgery, the blood pressure and the heart rate were traced, and the ventilation time, the extubation time, the postoperative visual analogue score, the time for the fi rst analgesic, the total analgesic requirements, postoperative nausea and vomiting, maternal satisfaction, and the neonatal outcome for each group were observed and recorded.
Results Regarding hemodynamic parameters, the mean arterial blood pressure and the heart rate were signifi cantly lower in group D in comparison with group F.
There was a signifi cant difference between the two study groups in the neurologic adaptive capacity score in favor of group D.
Group D showed signifi cantly longer spontaneous ventilation and extubation times compared with group F.
The visual analogue score was signifi cantly lower in group D than in group F at all times.
Maternal satisfaction was higher in group D than in group F.
Both study groups were comparable with regard to the quality of extubation and maternal complications.
Conclusion The present study demonstrates the benefits of dexmedetomidine in augmenting the hemodynamic stability and the analgesic quality in preeclamptic patients undergoing Cesarean section under general anesthesia without any apparent deleterious maternal or fetal effects.
This favors the use of dexmedetomidine as an adjuvant to general anesthesia in preeclamptic parturients in the future.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hilmi, Nadiyah& Hilmi, Jihan& al-Saqqa, Ahmad& Rafat, Hibah. 2015. The hemodynamic and analgesic profi le of dexmedetomidine against fentanyl in preeclamptic parturients undergoing cesarean section under general anesthesia. Ain Shams Journal of Anesthesiology،Vol. 8, no. 2, pp.183-188.
https://search.emarefa.net/detail/BIM-650063
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hilmi, Nadiyah…[et al.]. The hemodynamic and analgesic profi le of dexmedetomidine against fentanyl in preeclamptic parturients undergoing cesarean section under general anesthesia. Ain Shams Journal of Anesthesiology Vol. 8, no. 2 (Apr. / Jun. 2015), pp.183-188.
https://search.emarefa.net/detail/BIM-650063
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hilmi, Nadiyah& Hilmi, Jihan& al-Saqqa, Ahmad& Rafat, Hibah. The hemodynamic and analgesic profi le of dexmedetomidine against fentanyl in preeclamptic parturients undergoing cesarean section under general anesthesia. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 2, pp.183-188.
https://search.emarefa.net/detail/BIM-650063
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 188
رقم السجل
BIM-650063
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر