Antishivering effect of dexmedetomidine on patients undergoing video-assisted thoracoscopicwedge resection
Joint Authors
Lee, Kyung Cheon
Jo, Youn Yi
Lee, Ji Yeon
Park, Hee Yeon
Kim, Ju Ho
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 20, Issue 3 (31 Mar. 2018), pp.1-7, 7 p.
Publisher
Publication Date
2018-03-31
Country of Publication
United Arab Emirates
No. of Pages
7
Main Subjects
Abstract EN
Background: Post-anesthetic shivering can cause post- surgical pain or discomfort, and create oxygen supply/demand imbalance.
Objectives: The current study aimed at evaluating the effects of Dexmedetomidine on the incidence and intensity of shivering and core temperature after general anesthesia.
Methods: The current randomized, double-blind, placebo-controlled, clinical trial was conducted at a single center (Gil Medical Center, Incheon, South Korea) from January to December 2016 with convenience sampling and simple random allocation.
A total of 40 patients undergoing video-assisted thoracoscopic (VATS) wedge resection were randomly assigned to receive either 1 g/kg of Dexmedetomidine (Dexmedetomidine group, n = 20) or normal saline (control group, n = 20) 10 minutes after skin incision.
Hemodynamic variables and esophageal and tympanic temperatures were recorded five minutes after anesthetic induction, five minutes after achieving a lateral position, every five minutes after carbon dioxide insufflation to the thoracic cavity, and at the end of surgery.
Incidences and intensities of post-anesthetic shivering, and postoperative pain scores were recorded.
Results: Median postoperative pain score was significantly lower in the Dexmedetomidine group than the control group (4 (0 - 5) vs.
5 (3.25 - 6) (median (interquartile range)), P = 0.004).
In the post-anesthetic care unit (PACU), the incidence of shivering was significantly lower in the Dexmedetomidine group than in the control group (0/20 (0%) vs.
6/20 (30%), P = 0.020); but the incidence of hypothermia was higher in the Dexmedetomidine group than in the control group (6/20 (30%) vs.
0/20 (0%), P = 0.020).
Conclusions: A single intraoperative dose of Dexmedetomidine (1 g/kg) may reduce postoperative shivering and pain scores, but it might also increase the incidence of postoperative hypothermia in patients undergoing Sevoflurane anesthesia for video-assisted thoracoscopic wedge resection.
American Psychological Association (APA)
Jo, Youn Yi& Lee, Kyung Cheon& Park, Hee Yeon& Kim, Ju Ho& Lee, Ji Yeon. 2018. Antishivering effect of dexmedetomidine on patients undergoing video-assisted thoracoscopicwedge resection. Iranian Red Crescent Medical Journal،Vol. 20, no. 3, pp.1-7.
https://search.emarefa.net/detail/BIM-840293
Modern Language Association (MLA)
Jo, Youn Yi…[et al.]. Antishivering effect of dexmedetomidine on patients undergoing video-assisted thoracoscopicwedge resection. Iranian Red Crescent Medical Journal Vol. 20, no. 3 (Mar. 2018), pp.1-7.
https://search.emarefa.net/detail/BIM-840293
American Medical Association (AMA)
Jo, Youn Yi& Lee, Kyung Cheon& Park, Hee Yeon& Kim, Ju Ho& Lee, Ji Yeon. Antishivering effect of dexmedetomidine on patients undergoing video-assisted thoracoscopicwedge resection. Iranian Red Crescent Medical Journal. 2018. Vol. 20, no. 3, pp.1-7.
https://search.emarefa.net/detail/BIM-840293
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 6-7
Record ID
BIM-840293