Effects of dexmedetomidine, fentanyl and magnesium sulfate added to ropivacaine on sensory and motor blocks in lower abdominal surgery: a randomized clinical trial.

Autor:	Modir H; Departments of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran., Hafez-Alsehe N; Students Research Committee, Arak University of Medical Sciences, Arak, Iran., Almasi-Hashiani A; Department of Epidemiology, School of Health, Arak University of Medical Sciences Arak, Iran., Kamali A; Departments of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran.
Jazyk:	angličtina
Zdroj:	Medical gas research [Med Gas Res] 2024 Sep 01; Vol. 14 (3), pp. 102-107. Date of Electronic Publication: 2023 Sep 17.
DOI:	10.4103/2045-9912.385947
Abstrakt:	This study aimed to compare the effects of intrathecal dexmedetomidine, fentanyl and magnesium sulfate added to ropivacaine on the onset and duration of sensory and motor blocks in lower abdominal surgery. This double-blind randomized clinical trial included 90 patients scheduled for lower abdominal surgery at Vali-Asr Hospital in Arak, Iran. The enrolled patients were randomly divided into three equal groups and then underwent spinal anesthesia. The first group received 10 μg of dexmedetomidine, the second group received 50 μg of fentanyl, and the third group received 200 mg of 20% magnesium sulfate intrathecally in addition to 15 mg of 0.5% ropivacaine. In the dexmedetomidine group, the mean arterial blood pressure was lower than the other two groups (P = 0.001). Moreover, the time to onset of sensory block (P = 0.001) and the mean duration of sensory block (P = 0.001) were shorter and longer, respectively, in the dexmedetomidine group than in the other two groups. In the dexmedetomidine group, the mean time to onset of motor block (P = 0.001) and the mean duration of motor block (P = 0.001) were lower and higher than in the other two groups, respectively. There was no significant difference in visual analog scale score, heart rate, administered opioid, and drug side effects among the three groups. Dexmedetomidine caused early sensory and motor blocks while prolonging the duration of sensory and motor blocks compared with the other two groups. In addition, dexmedetomidine reduced mean arterial blood pressure in patients. Based on the findings of this study, it is recommended that dexmedetomidine can be used in order to enhance the quality of sensory and motor block in patients. (Copyright © 2024 Copyright: © 2024 Medical Gas Research.)
Databáze:	MEDLINE
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