지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.1
- 발행연도
- 2015.1
- 수록면
- 32 - 36 (5page)
이용수
초록· 키워드
오류제보하기
Background: The aim of this study was to evaluate the sedative effect of dexmedetomidine (DEX) added to ropivacainefor supraclavicular brachial plexus block (BPB) using the bispectral index (BIS).
Methods: Sixty patients (American Society of Anesthesiologists physical status 1 or 2, aged 20–65 years) undergoingwrist and hand surgery under supraclavicular BPB were randomly allocated to two groups. Ultrasound-guided supraclavicularBPB was performed with 40 ml of ropivacaine 0.5% and 1 μg/kg of DEX (Group RD) or 0.01 ml/kg of normalsaline (Group R). The primary endpoint was the BIS change during 60 min after block. The secondary endpoint was thechange in the mean arterial blood pressure (MAP), heart rate (HR), and SpO2 and the onset time and duration of the sensoryand motor block.
Results: In Group RD, the BIS decreased significantly until 30 min after the block (69.2 ± 13.7), but remained relativelyconstant to 60 min (63.8 ± 15.3). The MAP, HR and BIS were significantly decreased compared with Group R. The onsettime of the sensory and motor block were significantly faster in Group RD than in Group R. The duration of the sensoryand motor block were significantly increased in Group RD.
Conclusions: DEX added to ropivacaine for brachial plexus block induced sedation that corresponds to a BIS value of 60from which patients are easily awakened in a lucid state. In addition, perineural DEX shortened the onset time and prolongedthe duration of the sensory and motor blocks.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Brummett CM / 2011 / Additives to local anesthetics for peripheral nerve blockade / Int Anesthesiol Clin 49:104~116
Abdallah FW / 2013 / Facilitatory effects of perineural dexmedetomidine on neuraxial and peripheral nerve block : a systemic review and meta-analysis / Br J Anaesth 110:915~925
Esmaoglu A / 2010 / Dexmedetomidine added to levobupivacaine prolongs axillary brachial plexus block / Anesth Analg 111:1548~1551
Marhofer D / 2012 / Dexmedetomidine as an adjuvant to ropivacaine prolongs peripheral nerve block : a volunteer study / Br J Anaesth 110:438~442
Hall JE / 2010 / Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions / Anesth Analg 90:699~705
Abdallah FW / 2013 / Facilitatory effects of perineural dexmedetomidine on neuraxial and peripheral nerve block : a systemic review and meta-analysis / Br J Anaesth 110:915~925
Esmaoglu A / 2010 / Dexmedetomidine added to levobupivacaine prolongs axillary brachial plexus block / Anesth Analg 111:1548~1551
Marhofer D / 2012 / Dexmedetomidine as an adjuvant to ropivacaine prolongs peripheral nerve block : a volunteer study / Br J Anaesth 110:438~442
Hall JE / 2010 / Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions / Anesth Analg 90:699~705
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