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The Study on Complementary Role of Dexmedetomidine in Abdominal Surgery Patients undergoing General Anesthesia

  

  • Received:2010-03-08 Revised:2010-06-05 Published:2010-11-15 Online:2010-11-15

Abstract: Abstract Objective: To evaluate the effect of haemodynamic changes during induction of general anesthesia and the dexmedetomidine-sparing effect of anesthetics in abdominal surgery patients undergoing general anaesthesia. Methods: This was a prospective, randomized, double-blind, placebo-controlled study. 48 patients (ASA I~II) aged 18 to 65 years old undergoing abdominal operation under general anesthesia were randomly divided into group D(intravenous 1μg ?kg-1 Dex for 10 min before induction of general anesthesia) and group C (0.9% normal saline was given as control). The haemodynamic changes including blood pressure and heart rate during induction of general anesthesia was observed, and the consumption of anesthetics was recorded. Results: The heart rate was significantly decreased in group D than that in group C after DEX administration(P<0.01). The minimum of blood pressure was significantly increased in group D than that in group C before tracheal intubation(P<0.01), while the minimum of heart rate was contrary. The maximum of heart rate was significantly decreased in group D than that in group C after tracheal intubation(P<0.01).The consumption of anesthetics was significantly less in group D than that in group C(P<0.05). Conclusion: Dexmedetomidine can attenuate hemodynamic responses and reduce requirements of propofol, fentanyl and sevoflurane. Dexmedetomidine play a very good complementary role in general anesthesia.

Key words: dexmedetomidine, general anesthesia, haemodynamics, anesthetics, sparing