Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2019

Open Access 01-12-2019 | Confusion | Research

A prospective, randomised double-blind study on the anaesthetic effect of dexmedetomidine hydrochloride in brainstem tumour surgery

Authors: Sheng-Xiang Wu, Hua-Qin Chen

Published in: World Journal of Surgical Oncology | Issue 1/2019

Login to get access

Abstract

Context

Brainstem tumour surgery is difficult, and accidents can easily occur.

Objective

To explore the effect of dexmedetomidine hydrochloride on brainstem tumour surgery.

Design, setting and participants

A total of 60 patients with brainstem tumours successfully operated on by our hospital from March 2016 to March 2018 were selected as subjects.

Interventions

These patients were randomised into two groups: the research group (n = 30) and control group (n = 30). Patients in the control group were given propofol together with a placebo (0.9% sodium chloride solution) to maintain anaesthesia after general anaesthesia, while patients in the research group were supplemented with dexmedetomidine hydrochloride.

Main outcome measure

Awakening time, overall stability of various indicators in the operation and adverse reactions during the awakening period were observed.

Results

The results revealed that patients in the research group had a longer awakening time, higher mean stability rate, higher effective rate and less incidence of adverse reactions during the awakening period than the control group; the differences were all statistically significant (P < 0.05).

Conclusion

Dexmedetomidine hydrochloride has a good analgesic effect in intraoperative anaesthesia during brainstem tumour surgery, which significantly reduces the incidence of adverse reactions. Therefore, it can be used to assist anaesthesia during brainstem tumour operations and is worthy of clinical popularisation and application.
Literature
1.
go back to reference Moshiri E, Modir H, Bagheri N, Mohammadbeigi A, Jamilian H, Eshrati B. Premedication effect of dexmedetomidine and alfentanil on seizure time, recovery duration, and hemodynamic responses in electroconvulsive therapy. Ann Card Anaesth. 2016;19:263–8.CrossRef Moshiri E, Modir H, Bagheri N, Mohammadbeigi A, Jamilian H, Eshrati B. Premedication effect of dexmedetomidine and alfentanil on seizure time, recovery duration, and hemodynamic responses in electroconvulsive therapy. Ann Card Anaesth. 2016;19:263–8.CrossRef
2.
go back to reference Bae HB. Dexmedetomidine: an attractive adjunct to anesthesia. Korean J Anesthesiol. 2017;70:375–6.CrossRef Bae HB. Dexmedetomidine: an attractive adjunct to anesthesia. Korean J Anesthesiol. 2017;70:375–6.CrossRef
3.
go back to reference Richa F, Yazigi A, Sleilaty G, Yazbeck P. Comparison between dexmedetomidine and remifentanil for controlled hypotension during tympanoplasty. Eur J Anaesthesiol. 2008;25:369–74.CrossRef Richa F, Yazigi A, Sleilaty G, Yazbeck P. Comparison between dexmedetomidine and remifentanil for controlled hypotension during tympanoplasty. Eur J Anaesthesiol. 2008;25:369–74.CrossRef
4.
go back to reference Ahmed SS, Unland T, Slaven JE, Nitu ME, Rigby MR. Successful use of intravenous dexmedetomidine for magnetic resonance imaging sedation in autistic children. South Med J. 2014;107:559–64.CrossRef Ahmed SS, Unland T, Slaven JE, Nitu ME, Rigby MR. Successful use of intravenous dexmedetomidine for magnetic resonance imaging sedation in autistic children. South Med J. 2014;107:559–64.CrossRef
5.
go back to reference Mohamed T, Susheela I, Balakrishnan BP, Kaniyil S. Dexmedetomidine as adjuvant to lower doses of intrathecal bupivacaine for lower limb orthopedic surgeries. Anesth Essays Res. 2017;11:681–5.CrossRef Mohamed T, Susheela I, Balakrishnan BP, Kaniyil S. Dexmedetomidine as adjuvant to lower doses of intrathecal bupivacaine for lower limb orthopedic surgeries. Anesth Essays Res. 2017;11:681–5.CrossRef
7.
go back to reference Saadalla AET, Khalifa OYA. Influence of addition of dexmedetomidine or fentanyl to bupivacaine lumber spinal subarachnoid anesthesia for inguinal hernioplasty. Anesth Essays Res. 2017;11:554–7.CrossRef Saadalla AET, Khalifa OYA. Influence of addition of dexmedetomidine or fentanyl to bupivacaine lumber spinal subarachnoid anesthesia for inguinal hernioplasty. Anesth Essays Res. 2017;11:554–7.CrossRef
8.
go back to reference Yavascaoglu B, Kaya FN, Baykara M, Bozkurt M, Korkmaz S. A comparison of esmolol and dexmedetomidine for attenuation of intraocular pressure and haemodynamic responses to laryngoscopy and tracheal intubation. Eur J Anaesthesiol. 2008;25:517–9.CrossRef Yavascaoglu B, Kaya FN, Baykara M, Bozkurt M, Korkmaz S. A comparison of esmolol and dexmedetomidine for attenuation of intraocular pressure and haemodynamic responses to laryngoscopy and tracheal intubation. Eur J Anaesthesiol. 2008;25:517–9.CrossRef
9.
go back to reference Artigas C, Redondo JI, Lopez-Murcia MM. Effects of intravenous administration of dexmedetomidine on intraocular pressure and pupil size in clinically normal dogs. Vet Ophthalmol. 2012;15(Suppl 1):79–82.CrossRef Artigas C, Redondo JI, Lopez-Murcia MM. Effects of intravenous administration of dexmedetomidine on intraocular pressure and pupil size in clinically normal dogs. Vet Ophthalmol. 2012;15(Suppl 1):79–82.CrossRef
10.
go back to reference Kubre J, Sethi A, Mahobia M, Bindal D, Narang N, Saxena A. Single dose intravenous dexmedetomidine prolongs spinal anesthesia with hyperbaric bupivacaine. Anesth Essays Res. 2016;10:273–7.CrossRef Kubre J, Sethi A, Mahobia M, Bindal D, Narang N, Saxena A. Single dose intravenous dexmedetomidine prolongs spinal anesthesia with hyperbaric bupivacaine. Anesth Essays Res. 2016;10:273–7.CrossRef
11.
go back to reference Peng W, Shimin S, Hongli W, Yanli Z, Ying Z. Delirium risk of dexmedetomidine and midazolam in patients treated with postoperative mechanical ventilation: a meta-analysis. Open Med (Wars). 2017;12:252–6. Peng W, Shimin S, Hongli W, Yanli Z, Ying Z. Delirium risk of dexmedetomidine and midazolam in patients treated with postoperative mechanical ventilation: a meta-analysis. Open Med (Wars). 2017;12:252–6.
12.
go back to reference Kaygusuz K, Gokce G, Gursoy S, Ayan S, Mimaroglu C, Gultekin Y. A comparison of sedation with dexmedetomidine or propofol during shockwave lithotripsy: a randomized controlled trial. Anesth Analg. 2008;106:114–9 table of contents.CrossRef Kaygusuz K, Gokce G, Gursoy S, Ayan S, Mimaroglu C, Gultekin Y. A comparison of sedation with dexmedetomidine or propofol during shockwave lithotripsy: a randomized controlled trial. Anesth Analg. 2008;106:114–9 table of contents.CrossRef
13.
go back to reference Kim MH, Jung SY, Shin JD, Lee SH, Park MY, Lee KM, et al. The comparison of the effects of intravenous ketamine or dexmedetomidine infusion on spinal block with bupivacaine. Korean J Anesthesiol. 2014;67:85–9.CrossRef Kim MH, Jung SY, Shin JD, Lee SH, Park MY, Lee KM, et al. The comparison of the effects of intravenous ketamine or dexmedetomidine infusion on spinal block with bupivacaine. Korean J Anesthesiol. 2014;67:85–9.CrossRef
14.
go back to reference Singh S, Chouhan RS, Bindra A. Comparison of effect of dexmedetomidine and lidocaine on intracranial and systemic hemodynamic response to chest physiotherapy and tracheal suctioning in patients with severe traumatic brain injury; 2018.CrossRef Singh S, Chouhan RS, Bindra A. Comparison of effect of dexmedetomidine and lidocaine on intracranial and systemic hemodynamic response to chest physiotherapy and tracheal suctioning in patients with severe traumatic brain injury; 2018.CrossRef
15.
go back to reference Luo X, Zheng X, Huang H. Protective effects of dexmedetomidine on brain function of glioma patients undergoing craniotomy resection and its underlying mechanism. Clin Neurol Neurosurg. 2016;146:105–8.CrossRef Luo X, Zheng X, Huang H. Protective effects of dexmedetomidine on brain function of glioma patients undergoing craniotomy resection and its underlying mechanism. Clin Neurol Neurosurg. 2016;146:105–8.CrossRef
16.
go back to reference Wan LJ, Huang QQ, Yue JX, Lin L, Li SH. Comparison of sedative effect of dexmedetomidine and midazolam for post-operative patients undergoing mechanical ventilation in surgical intensive care unit. Chin Crit Care Med. 2011;23:543–6. Wan LJ, Huang QQ, Yue JX, Lin L, Li SH. Comparison of sedative effect of dexmedetomidine and midazolam for post-operative patients undergoing mechanical ventilation in surgical intensive care unit. Chin Crit Care Med. 2011;23:543–6.
17.
go back to reference Altindis NT, Karaaslan D, Peker TT, Ozmen S, Bulbul M. Comparison of meperidine alone with meperidine plus dexmedetomidine for postoperative patient-controlled analgesia. Neurosciences (Riyadh). 2008;13:117–21. Altindis NT, Karaaslan D, Peker TT, Ozmen S, Bulbul M. Comparison of meperidine alone with meperidine plus dexmedetomidine for postoperative patient-controlled analgesia. Neurosciences (Riyadh). 2008;13:117–21.
18.
go back to reference Soliman RN, Hassan AR, Rashwan AM, Omar AM. Prospective, randomized controlled study to assess the role of dexmedetomidine in patients with supratentorial tumors undergoing craniotomy under general anesthesia. Middle East J Anaesthesiol. 2011;21:23–33.PubMed Soliman RN, Hassan AR, Rashwan AM, Omar AM. Prospective, randomized controlled study to assess the role of dexmedetomidine in patients with supratentorial tumors undergoing craniotomy under general anesthesia. Middle East J Anaesthesiol. 2011;21:23–33.PubMed
20.
go back to reference Wang H, Hu B, Zou Y, Bo L, Wang J, Li J, et al. Dexmedetomidine premedication attenuates concanavalin A-induced hepatitis in mice. J Toxicol Sci. 2014;39:755–64.CrossRef Wang H, Hu B, Zou Y, Bo L, Wang J, Li J, et al. Dexmedetomidine premedication attenuates concanavalin A-induced hepatitis in mice. J Toxicol Sci. 2014;39:755–64.CrossRef
21.
go back to reference Rajput RS, Das S, Makhija N, Airan B. Efficacy of dexmedetomidine for the control of junctional ectopic tachycardia after repair of tetralogy of Fallot. Ann Pediatr Cardiol. 2014;7:167–72.CrossRef Rajput RS, Das S, Makhija N, Airan B. Efficacy of dexmedetomidine for the control of junctional ectopic tachycardia after repair of tetralogy of Fallot. Ann Pediatr Cardiol. 2014;7:167–72.CrossRef
22.
go back to reference Goettel N, Bharadwaj S, Venkatraghavan L, Mehta J, Bernstein M, Manninen PH. Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: a prospective randomized controlled trial. Br J Anaesth. 2016;116:811–21.CrossRef Goettel N, Bharadwaj S, Venkatraghavan L, Mehta J, Bernstein M, Manninen PH. Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: a prospective randomized controlled trial. Br J Anaesth. 2016;116:811–21.CrossRef
23.
go back to reference Srivastava VK, Mishra A, Agrawal S, Kumar S, Sharma S, Kumar R. Comparative evaluation of dexmedetomidine and magnesium sulphate on propofol consumption, haemodynamics and postoperative recovery in spine surgery: a prospective, randomized, placebo controlled, double-blind study. Adv Pharm Bull. 2016;6:75–81.CrossRef Srivastava VK, Mishra A, Agrawal S, Kumar S, Sharma S, Kumar R. Comparative evaluation of dexmedetomidine and magnesium sulphate on propofol consumption, haemodynamics and postoperative recovery in spine surgery: a prospective, randomized, placebo controlled, double-blind study. Adv Pharm Bull. 2016;6:75–81.CrossRef
24.
go back to reference Moore TA, Markert JM, Knowlton RC. Dexmedetomidine as rescue drug during awake craniotomy for cortical motorm appling and tumor resection. Anesth Analg. 2006;102(5):1556–8.CrossRef Moore TA, Markert JM, Knowlton RC. Dexmedetomidine as rescue drug during awake craniotomy for cortical motorm appling and tumor resection. Anesth Analg. 2006;102(5):1556–8.CrossRef
25.
go back to reference Rozet I, Souter J, Domino K. Dexmedetomidine sedation for awake craniotomies. Anesthesiology. 2004;101(3A):A375. Rozet I, Souter J, Domino K. Dexmedetomidine sedation for awake craniotomies. Anesthesiology. 2004;101(3A):A375.
Metadata
Title
A prospective, randomised double-blind study on the anaesthetic effect of dexmedetomidine hydrochloride in brainstem tumour surgery
Authors
Sheng-Xiang Wu
Hua-Qin Chen
Publication date
01-12-2019
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2019
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-019-1654-0

Other articles of this Issue 1/2019

World Journal of Surgical Oncology 1/2019 Go to the issue