ABSTRACT
Cancer is a serious disease threatening human life and social development,and has become one of the most important medical and health problems in the world.As the changing of disease patterns change and the trending of aging population,the burden of cancer patients is increasing in China.In clinical practice,various anesthesia methods are indispensable to complete surgery,invasive examinations and other operations.Therefore,safe and effective narcotic analgesic for cancer patients is the key factor for successful completion of examination and treatment.Dexmedetomidine (Dex) is a novel α2-adrenergic receptor agonist.Comparing with traditional opioids,Dex is more effective and safer,and can provide sedation,anxiolytic and analgesia after administration.In this paper,the progress of the usage of Dex in cancer patients was summarized to guide clinical treatment programs.
ABSTRACT
Aims: This study evaluated the anxiolytic, sedative and hypothermic effects of aqueous leaf extract of Vernonia amygdalina in Mice. Study Design: One-factor two control groups experimental design. Place and Duration of Study: Department of Pharmacology, Faculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria, between October 2012 and January 2013. Methodology: Animal models of novelty induced behaviours (rearing and locomotion), anxiolysis (T-maze and hole-board), sedation (amylobarbitone induced hypnosis) and hypothermia (rectal temperature measurement) were utilized in this study. Five different groups of white albino mice of both sexes weighing 23 – 28g (n=5 or 6) were randomly selected. Group 1 was the control (normal saline, 10 ml/kg, i.p.), group 2 was the positive control (diazepam, 1mg/kg, i.p.), while group 3, 4 and 5 were treated with aqueous leaf extract at 50, 100 and 200mg/kg, i.p., respectively. All animals in each group were pretreated for 30 minutes before assessment. Results: V. amygdalina at 50 mg/kg showed anxiolytic activity by significantly (P<0.001) increasing the frequency of head-dip compared to control, and also a significant (P =.05) decrease and increase (P<0.001) in latencies to withdrawal from the closed and open arms of the elevated T-maze respectively. However, at 100-200mg/kg, V. amygdalina showed sedative activity by significantly (P<0.001) decreasing rearing, locomotion (P<0.001) and head-dip frequency (P<0.001) in mice. Furthermore, V. amygdalina (100- 200mg/kg) caused significant (P<0.001) decrease in sleep latency and significantly (P<0.001) increased sleep duration in amylobarbitone-induced sleeping test indicating sedative activity. V. amygdalina (50-200mg/kg) also caused significant (at 30 min, 60 min, 90 min and 120 min; P=.05) reduction in rectal temperature in mice compared to normal saline and diazepam. Conclusion: The aqueous leaf extract of V. amygdalina may possess anxiolytic, sedative and hypothermic effects, hence justifying its folkloric medicinal use.
ABSTRACT
There is no information on the effects of variable amounts of water given less than 2 hour before induction of general anesthesia, although most patients receive oral premedication at that time. We have studied the effect of the volume of water which should accompany diazepam 0.2 mg/kg oral premedication given 90 minutes before induction of anesthesia in 75 patients undergoing elective laparoscopic cholecystectomy. The patients, ASA physical status I, randomly assigned to one of five groups. Fifteen patients were received no premedication (group A), 15 patients 50 ml (group B), 15 patients 100 ml (group C), 15 patients 150 ml (group D), and 15 patients 200 ml of water (group E). Immediately following induction of anesthesia the gastric fluid was obtained by suction on a nasogastric tube and its volume and pH were measured. Gastric fluid volume showed no statistically significant differences among the groups. Values for pH among the groups were also similar. All premedication groups reported a reduction in thirst after water intake, while only group D reported significant anxiolysis. We conclude that 150 ml is the ideal amount of water given with oral prnedication 90 minutes before general anesthesia.