Dexmedetomidine as adjuvant to hyperbaric bupivacaine in spinal anesthesia for inguinoscrotal surgery
المؤلفون المشاركون
Rabi, Amal H.
al-Shair, Ahmad N.
al-Shalakani, Nirvana A.
Muharram, Asim A.
al-Sufi, Amr M. M.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 10، العدد 1 (31 مارس/آذار 2017)، ص ص. 264-271، 8ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2017-03-31
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background and aim The purpose of this study was to evaluate the anesthetic and analgesic effects of dexmedetomidine as adjuvant in spinal anesthesia for patients undergoing inguinoscrotal surgery.
Patients and methods A total of 70 adult male patients (American Society of Anesthesiologists I or II) scheduled for inguinoscrotal surgery were randomized into two equal groups using a computer-generated randomization table and received 3 ml plain hyperbaric bupivacaine 0.5% diluted in 0.5 ml normal saline in group C or plus dexmedetomidine (5 μg) in group D.
Anesthesia, analgesia, and sedation qualities; hemodynamic changes; and adverse effects were recorded.
Results The studied groups showed no significant difference regarding demographic data.
The highest sensory level (T8)wasthe same in both groups, butthere were statistically significant differences between the two groups (P<0.05) regarding quality of anesthesia, times of onset, and duration and regressions of sensory and motor blocks (rapid onset and delayed offset of sensory and motor blocks in group D).
Postoperative pain score (visual analog scale) and rescue analgesic requirements were lower in group D compared with group C, and excellent analgesic quality was higher in group D.
Sedation score intraoperatively and up to 60 min postoperatively was significantly higher in group D compared with group C.
Regarding hemodynamics, mean arterial blood pressure and heart rate showed a statistically significant difference intraoperatively and till discharge to ward (P<0.05).
Regarding adverse effects, two patients in group C compared with three patients in group D had incidence of hypotension (mean arterial blood pressure? 55 mmHg).
Conclusion Dexmedetomidine as an adjuvant to hyperbaric bupivacaine in spinal anesthesia seems to be a profound intrathecal anesthetic, analgesic, and sedative agent, with preservation of hemodynamic stability and minimal adverse effects.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Shalakani, Nirvana A.& al-Shair, Ahmad N.& Rabi, Amal H.& Muharram, Asim A.& al-Sufi, Amr M. M.. 2017. Dexmedetomidine as adjuvant to hyperbaric bupivacaine in spinal anesthesia for inguinoscrotal surgery. Ain Shams Journal of Anesthesiology،Vol. 10, no. 1, pp.264-271.
https://search.emarefa.net/detail/BIM-841271
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Shalakani, Nirvana A.…[et al.]. Dexmedetomidine as adjuvant to hyperbaric bupivacaine in spinal anesthesia for inguinoscrotal surgery. Ain Shams Journal of Anesthesiology Vol. 10, no. 1 (Mar. 2017), pp.264-271.
https://search.emarefa.net/detail/BIM-841271
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Shalakani, Nirvana A.& al-Shair, Ahmad N.& Rabi, Amal H.& Muharram, Asim A.& al-Sufi, Amr M. M.. Dexmedetomidine as adjuvant to hyperbaric bupivacaine in spinal anesthesia for inguinoscrotal surgery. Ain Shams Journal of Anesthesiology. 2017. Vol. 10, no. 1, pp.264-271.
https://search.emarefa.net/detail/BIM-841271
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 270-271
رقم السجل
BIM-841271
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