ASSESSMENT OF DEXMEDETOMIDINE IN ADDITION CLONIDINE BY MEANS OF AN ADJUVANT TO LIGNOCAINE THROUGH ADRENALINE IN PERMEATION ANESTHESIA FOR TYMPANOPLASTY

被引:0
作者
Shoaib, Hafsa [1 ]
Sherwani, Hafsah [2 ]
Gora, Farayha Ahmad [3 ]
机构
[1] Govt Mian Munshi DHQ 1 Teaching Hosp, Lahore, Pakistan
[2] Allied Hosp, Faisalabad, Pakistan
[3] Shifa Int Hosp, Faisalabad, Pakistan
来源
INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES | 2019年 / 6卷 / 06期
关键词
Lignocaine through adrenaline; Clonidine; Dexmedetomidine; Penetration anesthesia; Tympanoplasty; BUPIVACAINE; ANALGESIA; DURATION;
D O I
10.5281/zenodo.3256242
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Background: Adjuvants to resident painkillers improve excellence also period of numbness. Dexmedetomidine, the strong alpha 2-adrenoceptor agonist, remains about nine times extra discerning near alpha 2-adrenoceptor as compared to clonidine. Dexmedetomidine remained associated through clonidine in infiltration anesthesia once supplementary to resident painkilling in penetration anesthesia in tympanoplasty. Methodology: The current research remained once driven at Sir Ganga Ram Hospital Lahore, Pakistan from March 2017 to December 2017. Seventy cases of age set 19-61 years, arranged for tympanoplasty underneath resident anesthesia stood arbitrarily alienated into 2 identical sets. In Set C (n = 35), 14 ml of 3% lignocaine by adrenaline + clonidine 2 mu g/kg; also, in Set D (n = 35), 13 ml of 3% lignocaine through adrenaline + dexmedetomidine 2 mu g/kg remained penetrated. Beginning also period of numbness, hemodynamic limitations, sedation point also score of flow remained noted. Altogether Measurable information remain offered as average also SD in addition associated experiencing student's t-trial. Qualitative information just like sedation notch, score of hemorrhage remain offered as incidence also proportion in addition examined while using chi-square trial. P-value of < 0.06 remained measured as substantial also p < 0.002 remained measured as extremely substantial. Results: Mutually sets remained similar in rapports of demographic also operating limitations. Period of postoperatively painlessness remained continued lengthier in Set D as associate to Set C (680.01 +/- 81.13 against 419.68 +/- 59.65 minutes, P < 0.002) also sedation scores remained sophisticated in Set D. Not any variance remained detected in mutually of sets about additional limitations counting commencement of painlessness, average HR, average BP also mark of hemorrhage at dissimilar period intermissions (P > 0.06). Conclusion: Dexmedetomidine once experienced as an adjuvant to resident painkilling in penetration anesthesia for tympanoplasty remained originate to remain additional actual than clonidine in rapports of period of postoperatively numbness also sedation score, though not any variance in relations of beginning of numbness, rating of hemorrhage also hemodynamic limitations.
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收藏
页码:12876 / 12880
页数:5
相关论文
共 10 条
  • [1] Effect of dexmedetomidine on bleeding during tympanoplasty or septorhinoplasty
    Durmus, M.
    But, A. K.
    Dogan, Z.
    Yucel, A.
    Miman, M. C.
    Ersoy, M. O.
    [J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2007, 24 (05) : 447 - 453
  • [2] Does the addition of clonidine affect duration of analgesia of bupivacaine wound infiltration in inguinal hernia surgery?
    Elliott, S
    Eckersall, S
    Fligelstone, L
    Jothilingam, S
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 1997, 79 (04) : 446 - 449
  • [3] Assessment of the role of alpha(2)-adrenoceptor subtypes in the antinociceptive, sedative and hypothermic action of dexmedetomidine in transgenic mice
    Hunter, JC
    Fontana, DJ
    Hedley, LR
    Jasper, JR
    Lewis, R
    Link, RE
    Secchi, R
    Sutton, J
    Eglen, RM
    [J]. BRITISH JOURNAL OF PHARMACOLOGY, 1997, 122 (07) : 1339 - 1344
  • [4] Liang Sharon, 2010, Anesthesiol Clin, V28, P519, DOI 10.1016/j.anclin.2010.07.009
  • [5] Lin Yu-Nan, 2013, Acta Anaesthesiol Taiwan, V51, P63, DOI 10.1016/j.aat.2013.06.001
  • [6] Clonidine decreases intraoperative bleeding in middle ear microsurgery
    Marchal, JM
    Gómez-Luque, A
    Martos-Crespo, F
    de la Cuesta, FS
    Martínez-López, MC
    Delgado-Martinez, AD
    [J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2001, 45 (05) : 627 - 633
  • [7] Pöpping DM, 2009, ANESTHESIOLOGY, V111, P406, DOI 10.1097/ALN.0b013e3181aae897
  • [8] A minimum dose of clonidine added to mepivacaine prolongs the duration of anesthesia and analgesia after axillary brachial plexus block
    Singelyn, FJ
    Gouverneur, JM
    Robert, A
    [J]. ANESTHESIA AND ANALGESIA, 1996, 83 (05) : 1046 - 1050
  • [9] A randomized controlled double-blinded prospective study of the efficacy of clonidine added to bupivacaine as compared with bupivacaine alone used in supraclavicular brachial plexus block for upper limb surgeries
    Singh, Shivinder
    Aggarwal, Amitabh
    [J]. INDIAN JOURNAL OF ANAESTHESIA, 2010, 54 (06) : 552 - 557
  • [10] Dexmedetomidine enhances the local anesthetic action of lidocaine via an α-2A adrenoceptor
    Yoshitomi, Tatsushi
    Kohjitani, Atsushi
    Maeda, Shigeru
    Higuchi, Hitoshi
    Shimada, Masahiko
    Miyawaki, Takuya
    [J]. ANESTHESIA AND ANALGESIA, 2008, 107 (01) : 96 - 101