The effect of intrathecal compared with intravenous dexmedetomidine as an adjuvant to spinal bupivacaine anesthesia for cesarean section
المؤلفون المشاركون
Majdi, Hadil
Muhsin, Mayy
Salih, Muhammad
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 1 (31 مارس/آذار 2015)، ص ص. 93-99، 7ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-03-31
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Introduction The aim of this study was to evaluate the effect of intrathecal compared with intravenous dexmedetomidine as an adjuvant to spinal bupivacaine anesthesia for pregnant women undergoing cesarean section on intraoperative and postoperative analgesia with special emphasis on their sedative properties and on the neonatal outcome.
Patients and methods A total of 105 women of ASA physical status I or II at term pregnancy were enrolled randomly into three groups.
Patients in group I received spinal anesthesia with hyperbaric bupivacaine.
In group II, 5 μg dexmedetomidine was added to bupivacaine.
In group III, after administration of spinal anesthesia with bupivacaine and an intravenous infusion of 0.5 μg/kg/h dexmedetomidine throughout the surgery, the incidence of hypotension, bradycardia, the onset, and the duration of sensory and motor block and the postoperative pain score were assessed.
Results No differences were observed in the rate of occurrence of hypotension and bradycardia between the three groups.
The time to reach the peak sensory level was shorter in group II and group III with a longer duration compared with group I.
The duration of motor block was shorter in group I compared with the two other groups with no signifi cant difference between the three groups in the onset of motor block.
The onset of postoperative pain was signifi cantly earlier in group I, and more patients in group I needed supplementary analgesia.
No signifi cant difference was noted between the three groups regarding the Apgar score and the incidence of maternal side effects such as nausea, vomiting, and dryness of the mouth.
Conclusion The use of intrathecal dexmedetomidine or intravenous dexmedetomidine as an adjuvant to spinal bupivacaine in women undergoing elective cesarean section improved the intraoperative condition and the quality of postoperative analgesia without neonatal or maternal side effects
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Majdi, Hadil& Muhsin, Mayy& Salih, Muhammad. 2015. The effect of intrathecal compared with intravenous dexmedetomidine as an adjuvant to spinal bupivacaine anesthesia for cesarean section. Ain Shams Journal of Anesthesiology،Vol. 8, no. 1, pp.93-99.
https://search.emarefa.net/detail/BIM-650886
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Majdi, Hadil…[et al.]. The effect of intrathecal compared with intravenous dexmedetomidine as an adjuvant to spinal bupivacaine anesthesia for cesarean section. Ain Shams Journal of Anesthesiology Vol. 8, no. 1 (Jan. / Mar. 2015), pp.93-99.
https://search.emarefa.net/detail/BIM-650886
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Majdi, Hadil& Muhsin, Mayy& Salih, Muhammad. The effect of intrathecal compared with intravenous dexmedetomidine as an adjuvant to spinal bupivacaine anesthesia for cesarean section. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 1, pp.93-99.
https://search.emarefa.net/detail/BIM-650886
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 98-99
رقم السجل
BIM-650886
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