Effect of dexmedetomidine on stress responses during extubation in patients undergoing uvulopalatopharyngoplasty / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 498-501, 2012.
Article
en Zh
| WPRIM
| ID: wpr-316629
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To observe the effect of dexmedetomidine hydrochloride on stress responses during extubation in patients undergoing uvulopalatopharyngoplasty (UPPP).</p><p><b>METHODS</b>Eighty-six scheduled for UPPP under general anesthesia were randomly divided into dexmedetomidine group (group D, n = 50) and control group (group C, n = 36). All patients were transported into post anesthesia care unit (PACU) after surgery and maintained sedation and analgesia by infusing propofol and sufentanil. Patients in group D were administrated dexmedetomidine 0.5 µg/kg, group C were administrated equivalent volume of normal saline. Both groups were treated with mechanical ventilation 6 - 24 h before extubation. Recovery time, the dosage of sedative and analgesic drugs and side effects were recorded.</p><p><b>RESULTS</b>There were no significant differences between two groups in recovery time (P > 0.05). The dosage of propofol and sufentanil in group D were respectively (785 ± 65) mg, (176 ± 10) µg, significantly less than that in group C (950 ± 101) mg, (209 ± 14) µg (P < 0.05). side effects in group D were significantly less than that in group C (P < 0.01).</p><p><b>CONCLUSIONS</b>Dexmedetomidine hydrochloride could efficiently restrain the stress response around tracheal extubation, reduce postoperative complications in patients undergoing UPPP.</p>
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Índice:
WPRIM
Asunto principal:
Músculos Faríngeos
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Complicaciones Posoperatorias
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Estrés Fisiológico
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Cirugía General
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Procedimientos Quirúrgicos Otorrinolaringológicos
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Úvula
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Periodo de Recuperación de la Anestesia
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Método Doble Ciego
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Dexmedetomidina
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Usos Terapéuticos
Tipo de estudio:
Clinical_trials
Límite:
Adult
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Aged
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Año:
2012
Tipo del documento:
Article