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Dexmedetomidine: An Advantage for Reducing Intraoperative Anaesthetic Demand

Authors: Saurabh Kulshreshtha; Gupta, Ritu; RK Mehta;

Dexmedetomidine: An Advantage for Reducing Intraoperative Anaesthetic Demand

Abstract

{"references": ["1. Charuluxananan S, Kyokong O, Somboonviboon W, Balmongkon B, Chaisom boonpan Sx. Nicardipine versus lidocaine for attenuating the cardio vascular response to endotracheal intubation. J Anesth. 2000; 14: 77-81.", "2. Gunes Y, Gunduz M, Ozcengiz D, Ozbek H, Isik G. Dexmedetomidine -remifentanil or propofolremifentanil anaesthesia in patients undergoing intra cranial surgery. Neurosurg Q. 2005:15:122-6.", "3. Powroznyk A, Vuylsteke A, Naughton C, Misso S, Holloway J, Jolin-Mellgard A et al. Comparison of clevidipine with sodium nitro prusside in the control of blood pressure after coronary artery surgery. Eur J Anaesth. 2003; 20:697-703.", "4. Vucevic M, Purdy GM, Ellis FR. Esmolol hydro chloride for management of the cardio vascular stress responses to laryngoscopy and tracheal intubation. Br J Anaesth. 1992; 68(5): 529-530.", "5. Bloor BC, Flacke WE. 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The aim of this study was to determine whether dexmedetomidine attenuates hemodynamic response to intubation & reduces perioperative anaesthetic requirement. Sixty ASA I & II patients scheduled for elective surgery of duration 3 hrs or more were randomly selected. Patients were divided into two groups: GroupA(n=30) received halothane-fentanyl-saline and group B (n=30) received halothane-fentanyl-dexmedetomidine. Dexmedetomidine infusion in a dose of 1 μg / kg was given over 10 min. before induction of anaesthesia and was continued in dose of 0.2-0.7 μg / kg / hr. until skin closure. All patients were induced with thiopentone, fentanyl and rocuronium. Hemodynamic variables were continuously recorded. The need for thiopentone and halothane was decreased by 25% and 30%, respectively, in dexmedetomidine group as compared to the control group. After tracheal intubation, maximal average increase in systolic, diastolic blood pressure and heart rate was 10%, 10% and 5%, in dexmedetomidine group, as compared to 35%, 30% and 25% in control group, respectively. Fentanyl requirement were 33% less in dexmedetomidine group. It is inferred that dexmedetomidine attenuates hemodynamic response to intubation and has anaesthetic sparing effect.

Keywords

dexmedetomidine, tracheal intubation, hemodynamic response, fentanyl, halothane

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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