A COMPARATIVE CLINICAL STUDY OF INTRATHECAL DEXMEDETOMIDINE 5 µg AND INTRATHECAL FENTANYL 25 µg AS AN ADJUVANT WITH 0.5% HYPERBARIC BUPIVACAINE 12.5 mg IN ELECTIVE LOWER LIMB SURGERIES

Shashikala, Thuraganur Kapanigowda; Sanjeev, Kakaraddi; Prathibha, Gowda Ashwathappa; Kavya, M; Naveen, Honakeri; Srinivas, V Y

doi:10.14260/jemds/2016/732

Cited by 1 publication

(1 citation statement)

References 8 publications

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“…In addition to comparing the effect of intrathecal DEX to placebo, six of the included studies (Ganesh & Krishnamurthy, 2018;Li et al, 2015;Mahendru et al, 2013;Munnoli et al, 2016;Solanki et al, 2013;Suthar et al, 2015) also investigated the effects of intrathecal clonidine with 30 mcg being the most common dose. Five (Li et al, 2015;Rahimzadeh et al, 2018;Rao et al, 2015;Shashikala et al, 2016;Sun et al, 2015) studied intrathecal fentanyl with 25 mcg being the most common dose. All studies concluded that DEX was superior to both clonidine and fentanyl in prolonging the postoperative analgesic duration.…”

Section: Comparison Of Intrathecal Dex With Other Adjuncts For Spinmentioning

confidence: 99%

Intrathecal dexmedetomidine and postoperative pain: A systematic review and meta‐analysis of randomized controlled trials

Paramasivan

López-Olivo

Foong

et al. 2020

European Journal of Pain

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Background and Objective: A systematic review and meta-analysis of randomized controlled trials (RCTs) was undertaken to evaluate the effect of intrathecal dexmedetomidine (DEX) on the duration of postoperative analgesia, postoperative pain scores and incidences of adverse effects. Databases and Data Treatment: Database search was performed from inception until January 2019. All RCTs analysing acute postoperative pain characteristics after intrathecal DEX administration in adults undergoing spinal anaesthesia for elective surgery were included. The primary outcome was postoperative analgesic duration, defined as the time to first analgesic request. The secondary outcomes included pain scores at 6, 12 and 24 postoperative hours and rates of hypotension, bradycardia, shivering and postoperative nausea and vomiting. Results: Twenty-four studies comprising a total of 1,460 patients were included. Postoperative analgesic duration was prolonged with intrathecal DEX compared to placebo, with a pooled mean difference (MD) of 191.3 min (95% CI 168.8-213.8). Patients who received intrathecal DEX reported lower Visual Analogue Scale scores at 24 postoperative hours compared with those patients receiving placebo, with a MD (95% CI) of −1.05 (−1.89 to −0.20, p = 0.02). There were no differences in the incidence of adverse effects, except for a lower rate of postoperative shivering in the intrathecal DEX group (pooled relative risk 0.58, 95% CI 0.34-0.98, p = 0.04). Conclusions: Compared to placebo, intrathecal DEX prolonged postoperative analgesic duration, reduced 24-hr pain intensity and reduced the incidence of shivering without an increase in other adverse effects. Significance: The analgesic role of intrathecal DEX is promising due to its ability to significantly increase postoperative analgesic duration when compared with placebo. Its usage can be considered for patients undergoing surgeries with significant postoperative pain, particularly those intolerant of systemic analgesia. However, the optimal dose for various surgeries as well as its long-term neurological effects warrants further studies.

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Section: Comparison Of Intrathecal Dex With Other Adjuncts For Spinmentioning

confidence: 99%

Intrathecal dexmedetomidine and postoperative pain: A systematic review and meta‐analysis of randomized controlled trials

Paramasivan

López-Olivo

Foong

et al. 2020

European Journal of Pain

View full text Add to dashboard Cite

show abstract

A COMPARATIVE CLINICAL STUDY OF INTRATHECAL DEXMEDETOMIDINE 5 µg AND INTRATHECAL FENTANYL 25 µg AS AN ADJUVANT WITH 0.5% HYPERBARIC BUPIVACAINE 12.5 mg IN ELECTIVE LOWER LIMB SURGERIES

Cited by 1 publication

References 8 publications

Intrathecal dexmedetomidine and postoperative pain: A systematic review and meta‐analysis of randomized controlled trials

Intrathecal dexmedetomidine and postoperative pain: A systematic review and meta‐analysis of randomized controlled trials

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