Literature DB >> 1684653

The analgesic action of dexmedetomidine--a novel alpha 2-adrenoceptor agonist--in healthy volunteers.

Marja-Leena Jaakola1, Markku Salonen, Risto Lehtinen, Harry Scheinin.   

Abstract

The analgesic efficacy of dexmedetomidine (DEX)--a novel alpha 2-adrenoceptor agonist--was studied in man. Single intravenous doses of fentanyl (FEN; 2 micrograms/kg), DEX (0.25, 0.50 and 1.0 micrograms/kg) and placebo were administered to 5 healthy male volunteers in a double-blind, crossover study in randomized order. The analgesic effect of the different treatments was measured by determining the time course of pain threshold with dental dolorimetry and by quantitating subjective pain induced by a standard ischemic pain stimulus on the upper arm using a visual analogue scale (VAS). The drugs were generally well tolerated. FEN and DEX both had analgesic effects on ischemic pain, which was seen as a statistically significant decrease in subjective VAS ratings. FEN appeared to be more effective than DEX; the difference was not, however, statistically significant. Neither of the drugs affected the pain threshold measurements.

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Year:  1991        PMID: 1684653     DOI: 10.1016/0304-3959(91)90111-A

Source DB:  PubMed          Journal:  Pain        ISSN: 0304-3959            Impact factor:   6.961


  51 in total

1.  Dexmedetomidine-ketamine and midazolam-ketamine combinations for sedation in pediatric patients undergoing extracorporeal shock wave lithotripsy: a randomized prospective study.

Authors:  Senem Koruk; Ayse Mizrak; Rauf Gul; Ertugrul Kilic; Fatih Yendi; Unsal Oner
Journal:  J Anesth       Date:  2010-10-06       Impact factor: 2.078

2.  Perioperative infusion of dexmedetomidine at a high dose reduces postoperative analgesic requirements: a randomized control trial.

Authors:  Norimasa Ohtani; Yutaka Yasui; Daisuke Watanabe; Mari Kitamura; Kazuhiro Shoji; Eiji Masaki
Journal:  J Anesth       Date:  2011-09-28       Impact factor: 2.078

Review 3.  Alpha-2 agonists for long-term sedation during mechanical ventilation in critically ill patients.

Authors:  Ken Chen; Zhijun Lu; Yi Chun Xin; Yong Cai; Yi Chen; Shu Ming Pan
Journal:  Cochrane Database Syst Rev       Date:  2015-01-06

4.  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

5.  Dexmedetomidine, ketamine, and midazolam for oral rehabilitation: a case report.

Authors:  Bill W S Kim; Robert M Peskin
Journal:  Anesth Prog       Date:  2015

Review 6.  Alpha-2 adrenergic receptor agonists: a review of current clinical applications.

Authors:  Joseph A Giovannitti; Sean M Thoms; James J Crawford
Journal:  Anesth Prog       Date:  2015

7.  Intravenous Sedation in Arnold-Chiari Malformation With Respiratory Failure.

Authors:  Yoshiki Shionoya; Eishi Nakamura; Takahiro Goi; Kiminari Nakamura; Katsuhisa Sunada
Journal:  Anesth Prog       Date:  2019

8.  Dexmedetomidine blocks thermal hyperalgesia and spinal glial activation in rat model of monoarthritis.

Authors:  Bo Xu; Wei-shi Zhang; Jia-le Yang; Hua Xu; Xiao-ming Deng; Yu-qiu Zhang
Journal:  Acta Pharmacol Sin       Date:  2010-04-05       Impact factor: 6.150

9.  Effectiveness of nebulized dexmedetomidine for treatment of post-dural puncture headache in parturients undergoing elective cesarean section under spinal anesthesia: a randomized controlled study.

Authors:  Sherif M S Mowafy; Shereen E Abd Ellatif
Journal:  J Anesth       Date:  2021-05-16       Impact factor: 2.078

10.  The Effect of Intraoperative Dexmedetomidine Versus Morphine on Postoperative Morphine Requirements After Laparoscopic Bariatric Surgery.

Authors:  Carine Zeeni; Marie T Aouad; Dayane Daou; Sara Naji; Samar Jabbour-Khoury; Ramzi S Alami; Bassem Y Safadi; Sahar M Siddik-Sayyid
Journal:  Obes Surg       Date:  2019-12       Impact factor: 4.129

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