Literature DB >> 16421680

Dexmedetomidine during local anesthesia.

Mahmoud I M Abdalla1, Fatima Al Mansouri, Abdulbari Bener.   

Abstract

The objective of our study was to assess the efficacy and safety of dexmedetomidine given in a small dose for a 1-h infusion as an adjuvant to local analgesia in ophthalmic operations. The study was double-blind prospective, randomized, and placebo controlled. We studied the effects of a small dose of dexmedetomidine (0.5 micro.kg(-1).h(-1) for 10 min followed by 0.2 micro.kg(-1).h(-1) for 50 min. Patients were divided randomly into two groups with 20 patients in each: group A was the study group and group B was the placebo group. Heart rate, systolic blood pressure, and diastolic blood pressure were significantly lower in the dexmedetomidine group than the placebo group. Bispectral index values were significantly lower in the dexmedetomidine group than the placebo group. Also, intraocular pressure significantly decreased in the dexmedetomidine group compared to the placebo group. The study revealed that dexmedetomidine in the studied dose has a sedative effect, provides safe control of heart rate and blood pressure, and also decreases intraocular pressure during ophthalmic surgery under local anesthesia.

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Year:  2006        PMID: 16421680     DOI: 10.1007/s00540-005-0351-z

Source DB:  PubMed          Journal:  J Anesth        ISSN: 0913-8668            Impact factor:   2.078


  9 in total

1.  A clinical comparison of the Oculab Tono-Pen with the Goldmann applanation tonometer in eyes filled with silicone oil.

Authors:  D V Alfaro; V T Tran
Journal:  Retina       Date:  1991       Impact factor: 4.256

2.  Dexmedetomidine: a novel sedative-analgesic agent.

Authors:  R Gertler; H C Brown; D H Mitchell; E N Silvius
Journal:  Proc (Bayl Univ Med Cent)       Date:  2001-01

3.  Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers.

Authors:  P S Glass; M Bloom; L Kearse; C Rosow; P Sebel; P Manberg
Journal:  Anesthesiology       Date:  1997-04       Impact factor: 7.892

4.  Dexmedetomidine.

Authors:  N Bhana; K L Goa; K J McClellan
Journal:  Drugs       Date:  2000-02       Impact factor: 9.546

5.  Bispectral index-guided sedation with dexmedetomidine in intensive care: a prospective, randomized, double blind, placebo-controlled phase II study.

Authors:  Andreas E Triltsch; Martin Welte; Peter von Homeyer; Jochen Grosse; Arka Genähr; Maryam Moshirzadeh; Alexander Sidiropoulos; Wolfgang Konertz; Wolfgang J Kox; Claudia D Spies
Journal:  Crit Care Med       Date:  2002-05       Impact factor: 7.598

6.  Dexmedetomidine as an anesthetic adjunct in coronary artery bypass grafting.

Authors:  J Jalonen; M Hynynen; A Kuitunen; H Heikkilä; J Perttilä; M Salmenperä; M Valtonen; R Aantaa; A Kallio
Journal:  Anesthesiology       Date:  1997-02       Impact factor: 7.892

7.  The effects of increasing plasma concentrations of dexmedetomidine in humans.

Authors:  T J Ebert; J E Hall; J A Barney; T D Uhrich; M D Colinco
Journal:  Anesthesiology       Date:  2000-08       Impact factor: 7.892

8.  Practice parameters for intravenous analgesia and sedation for adult patients in the intensive care unit: an executive summary. Society of Critical Care Medicine.

Authors:  B A Shapiro; J Warren; A B Egol; D M Greenbaum; J Jacobi; S A Nasraway; R M Schein; A Spevetz; J R Stone
Journal:  Crit Care Med       Date:  1995-09       Impact factor: 7.598

9.  Effects of intravenous dexmedetomidine in humans. II. Hemodynamic changes.

Authors:  B C Bloor; D S Ward; J P Belleville; M Maze
Journal:  Anesthesiology       Date:  1992-12       Impact factor: 7.892

  9 in total
  20 in total

Review 1.  Dexmedetomidine: a review of its use for sedation in mechanically ventilated patients in an intensive care setting and for procedural sedation.

Authors:  Sheridan M Hoy; Gillian M Keating
Journal:  Drugs       Date:  2011-07-30       Impact factor: 9.546

2.  The Efficacy and Safety of Dexmedetomidine for Sedation During Surgery Under Epidural or Spinal Anesthesia: A Randomized, Double-Blind, Placebo-Controlled Study.

Authors:  Yoshimi Inagaki; Michiaki Yamakage; Atsuhiro Sakamoto; Akifumi Okayama; Nobuyo Oya; Takehiko Hiraoka; Kiyoshi Morita
Journal:  Yonago Acta Med       Date:  2022-01-04       Impact factor: 1.641

3.  The Efficacy and Safety of Dexmedetomidine for Procedural Sedation in Patients Receiving Local Anesthesia Outside the Intensive Care Unit: A Prospective, Double-Blind, Randomized Clinical Phase III Trial in Japan.

Authors:  Yoshimi Inagaki; Kiyoshi Morita; Makoto Ozaki; Kazuo Matsumoto; Akifumi Okayama; Nobuyo Oya; Takehiko Hiraoka; Junzo Takeda
Journal:  Yonago Acta Med       Date:  2022-01-21       Impact factor: 1.641

4.  Dexmedetomidine sedation in painful posterior segment surgery.

Authors:  Ahmad Mansour; Samar Taha
Journal:  Clin Ophthalmol       Date:  2012-12-13

5.  Changes in intraocular pressure following administration of suxamethonium and endotracheal intubation: Influence of dexmedetomidine premedication.

Authors:  Chandan Kumar Pal; Manjushree Ray; Anjana Sen; Bimal Hajra; Dipankar Mukherjee; Anil Kumar Ghanta
Journal:  Indian J Anaesth       Date:  2011-11

6.  Dexmedetomidine is effective for monitored anesthesia care in outpatients undergoing cataract surgery.

Authors:  Hyo-Seok Na; In-Ae Song; Hong-Sik Park; Jung-Won Hwang; Sang-Hwan Do; Chong-Soo Kim
Journal:  Korean J Anesthesiol       Date:  2011-12-20

7.  Optimal effect-site concentration of remifentanil when combined with dexmedetomidine in patients undergoing cystoscopy.

Authors:  Bongha Heo; Minsun Kim; Hyunjung Lee; Sanghee Park; Seongwook Jeong
Journal:  Korean J Anesthesiol       Date:  2014-01-28

8.  Dexmedetomidine for monitored anesthesia care in patients undergoing liberation procedure for multiple sclerosis: An observational study.

Authors:  Saurabh Anand; Anshul Bhatia; Harsh Sapra; Vipul Gupta; Yatin Mehta
Journal:  Saudi J Anaesth       Date:  2012 Oct-Dec

9.  Efficacy of alpha2 agonists in obtunding rise in intraocular pressure after succinylcholine and that following laryngoscopy and intubation.

Authors:  Sunil Rajan; Saritha Valsala Krishnankutty; Hema Muraleedharan Nair
Journal:  Anesth Essays Res       Date:  2015 May-Aug

10.  A prospective randomized double-blind study comparing dexmedetomidine vs. combination of midazolam-fentanyl for tympanoplasty surgery under monitored anesthesia care.

Authors:  Devangi A Parikh; Sagar N Kolli; Hemangi S Karnik; Smita S Lele; Bharati A Tendolkar
Journal:  J Anaesthesiol Clin Pharmacol       Date:  2013-04
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