Evidence map›Paper›PMID 39391652›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

Comparison of two different doses of dexmedetomidine for continuous epidural analgesia for lower limb surgeries: A randomized double-blind study.

Pranjali Kurhekar, Sam Blessy Sheba, Sathyasuba Meenakshisundaram, Raghuraman M Sethuraman, Neeta Parlikar

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Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Pranjali KurhekarDepartment of Anesthesiology, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India.
Sam Blessy ShebaShri Sathya Sai Medical College and RI, Kancheepuram, Tamil Nadu, India.
Sathyasuba MeenakshisundaramDepartment of Anesthesiology, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India.
Raghuraman M SethuramanDepartment of Anesthesiology, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India.
Neeta ParlikarDepartment of Anesthesiology, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Bolus epidural dexmedetomidine provides potent analgesia but the incidence of hemodynamic instability is high. There are only a few studies that have evaluated the efficacy of epidural dexmedetomidine infusion but none of them compared different doses to find the optimum safe dose. We compared the analgesic efficacy and safety of two different doses of dexmedetomidine in continuous epidural for postoperative analgesia. Material and Methods: Patients undergoing lower limb surgeries were divided randomly into two groups: Group I ( Results: 1 μg/kg group (Group II) had a significantly reduced pain score at all time intervals and less demand for rescue analgesia ( Conclusion: Dexmedetomidine in a dose of 1 μg/kg/24 h with 5 ml of 0.1% ropivacaine through epidural infusion provides better analgesia with a safe hemodynamic profile.

Indexed as

Dexmedetomidineepidural analgesiaEpidural dexmedetomidine can cause profound hypotension. The optimum, safe dose of dexmedetomidine is not known. In our study, we observed that continuous epidural infusion of 1 μg/kg/24 h dexmedetomidine provides better analgesia with acceptable hemodynamic variations.hemodynamic stabilityropivacaine

Identifiers

PMID39391652
PMCPMC11463938

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