Journal article
Impact of intraoperative dexmedetomidine versus remifentanil on recovery characteristics following laparoscopic sleeve gastrectomy
Journal of the College of Physicians and Surgeons--Pakistan, Vol.31(2), pp.210-214
02/01/2021
DOI: 10.29271/JCPSP.2021.02.210
PMID: 33645192
Abstract
Objective: To evaluate the impact of intraoperative dexmedetomidine versus remifentanil on postoperative pain; and enhanced recovery profile in patients scheduled for laparoscopic sleeve gastrectomy (LSG).
Study design: Clinical observational double-blind pilot study.
Place and duration of study: King Khalid University Hospital, affiliated with King Saud University, Riyadh, Saudi Arabia, from December 2019 to March 2020.
Methodology: Forty adult patients with body mass index (BMI) >35 Kg/m2 were divided into two equal groups: group dexmedetomidine (D) and group remifentanil (R). In the post-anaesthesia care unit (PACU) and for 24 hours in the ward, the patients were assessed for pain score and other recovery characteristics.
Results: In the PACU, the mean values of numerical rating scale (NRS) were 4.26±1.97 vs. 4.15±1.9 and morphine consumption median values were 4 vs. 1 mg in groups D and R, respectively (p >0.05). The number of patients who developed shivering were 0 vs. 6 in groups D and R, respectively (p <0.05). Sedation agitation scale (SAS) median values were 4 vs. 4 (p <0.05), postoperative nausea and vomiting (PONV) frequency was 1 vs. 6 (p >0.05) in groups D and R, respectively. The length of hospital stay (LOS) median values were 1 vs. 1 day in groups D and R, respectively (p >0.05).
Conclusion: Better enhanced recovery profile after LSG supports the use of intraoperative infusion of dexmedetomidine as an anaesthetic adjuvant versus remifentanil. Key Words: Dexmedetomidine, Remifentanil, Enhanced recovery after surgery (ERAS); Bariatric surgery.
Details
- Title: Subtitle
- Impact of intraoperative dexmedetomidine versus remifentanil on recovery characteristics following laparoscopic sleeve gastrectomy
- Creators
- Abdul Sattar Narejo - King Khalid University HospitalMuhammad Musa Khan - King Saud Medical CityAli Alwhabi - King Saud UniversityAdel Alqarni - King Saud Medical CityAbdulaziz Ejaz Ahmed - King Saud UniversityAbdelazeem Ali Eldawlatly - King Saud University
- Resource Type
- Journal article
- Publication Details
- Journal of the College of Physicians and Surgeons--Pakistan, Vol.31(2), pp.210-214
- DOI
- 10.29271/JCPSP.2021.02.210
- PMID
- 33645192
- NLM abbreviation
- J Coll Physicians Surg Pak
- ISSN
- 1022-386X
- eISSN
- 1681-7168
- Number of pages
- 5
- Grant note
- Saudi Anesthesia Society
- Language
- English
- Date published
- 02/01/2021
- Academic Unit
- Anesthesia
- Record Identifier
- 9984962537302771
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