The effects of intra-operative dexmedetomidine on postoperative pain, side-effects and recovery in colorectal surgery.

Abstract:

:In this double-blind, randomised study, 100 patients undergoing open or conventional laparoscopic colorectal surgery received an intra-operative loading dose of dexmedetomidine 1 μg.kg(-1) followed by an infusion of 0.5 μg.kg(-1) .h(-1) , or a bolus and infusion of saline 0.9% of equivalent volume. Forty-six patients in the dexmedetomidine group and 50 in the saline group completed the study. The area under the curve of numerical rating scores for pain at rest for 1-48 h postoperatively was significantly lower in the patients receiving dexmedetomidine (p = 0.041). There was no difference in morphine consumption, duration of recovery ward or hospital stay. From the data obtained in this study, we calculated a number needed to treat for effective pain relief of 4. Intra-operative dexmedetomidine in colorectal surgery resulted in a reduction in resting pain scores, but there was no morphine-sparing effect or improvement in patients' recovery outcome measures.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Cheung CW,Qiu Q,Ying AC,Choi SW,Law WL,Irwin MG

doi

10.1111/anae.12759

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

1214-21

issue

11

eissn

0003-2409

issn

1365-2044

journal_volume

69

pub_type

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