Epidural dexmedetomidine, tramadol, or neostigmine for postoperative pain after major breast surgeries
المؤلفون المشاركون
Abu al-Aynayn, Mustafa A.
Hamadah, Muhammad H.
Abu Saba, Muhammad Amr
Kamal, Salah M.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 3 (30 سبتمبر/أيلول 2015)، ص ص. 370-376، 7ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-09-30
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background It is postulated that the benefi cial effects of epidural analgesia result from attenuation of stress response and provision of good postoperative analgesia.
We added dexmedetomidine, tramadol, or neostigmine to bupivacaine in thoracic epidural anesthesia to evaluate their effect on perioperative cortisol level, postoperative analgesia, time to ambulation, and complications.
Patients and methods Eighty female patients scheduled for major breast surgery were divided into four equal groups (20 patients each) in a randomized double-blinded manner.
Thoracic epidural anesthesia was induced.
In group C 15 ml of 0.5% bupivacaine (control group), in group D 15 ml of 0.5% bupivacaine +75 μg of dexmedetomidine, in group T 15 ml of 0.5% bupivacaine +75 mg of tramadol, and in group N 15 ml of 0.5% bupivacaine +75 μg of neostigmine were given.
Perioperative cortisol level, postoperative analgesia, time to ambulation, and complications were assessed.
Results Demographic data and surgical characteristics were similar in all groups.
Patients in groups D and T had lower pain scores compared with patients in groups C and N at all time points in the following 24 h postoperatively.
Hence, patients in groups D and T consumed a lower dose of bupivacaine in the postoperative period compared with patients in groups C and N.
There was a highly signifi cant reduction in the mean time to postoperative ambulation in groups D, T, and N compared with group C.
Conclusion Dexmedetomidine is superior to tramadol and neostigmine in providing hemodynamic stability, excellent attenuation of stress response, prolonged postoperative analgesia, and early mobilization with minimal undesirable side effects.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Abu Saba, Muhammad Amr& Hamadah, Muhammad H.& Abu al-Aynayn, Mustafa A.& Kamal, Salah M.. 2015. Epidural dexmedetomidine, tramadol, or neostigmine for postoperative pain after major breast surgeries. Ain Shams Journal of Anesthesiology،Vol. 8, no. 3, pp.370-376.
https://search.emarefa.net/detail/BIM-650717
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Abu Saba, Muhammad Amr…[et al.]. Epidural dexmedetomidine, tramadol, or neostigmine for postoperative pain after major breast surgeries. Ain Shams Journal of Anesthesiology Vol. 8, no. 3 (Jul. / Sep. 2015), pp.370-376.
https://search.emarefa.net/detail/BIM-650717
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Abu Saba, Muhammad Amr& Hamadah, Muhammad H.& Abu al-Aynayn, Mustafa A.& Kamal, Salah M.. Epidural dexmedetomidine, tramadol, or neostigmine for postoperative pain after major breast surgeries. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 3, pp.370-376.
https://search.emarefa.net/detail/BIM-650717
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 375-376
رقم السجل
BIM-650717
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