Antishivering Effect of Dexmedetomidine on Patients Undergoing Video-Assisted Thoracoscopic Wedge Resection
DC Field | Value | Language |
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dc.contributor.author | Jo, Youn Yi | - |
dc.contributor.author | Lee, Kyung Cheon | - |
dc.contributor.author | Park, Hee Yeon | - |
dc.contributor.author | Kim, Ju Ho | - |
dc.contributor.author | Lee, Ji Yeon | - |
dc.date.available | 2020-02-27T11:41:56Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2018-03 | - |
dc.identifier.issn | 2074-1804 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/4004 | - |
dc.description.abstract | Background: Post-anesthetic shivering can cause postsurgical pain or discomfort, and create oxygen supply/demand imbalance. Objectives: The current study aimed at evaluating the effects of Dexmedetomidine on the incidence and intensity of shivering and core temperature after general anesthesia. Methods: The current randomized, double-blind, placebo-controlled, clinical trial was conducted at a single center (Gil Medical Center, Incheon, South Korea) from January to December 2016 with convenience sampling and simple random allocation. A total of 40 patients undergoing video-assisted thoracoscopic (VATS) wedge resection were randomly assigned to receive either 1 mu g/kg of Dexmedetomidine (Dexmedetomidine group, n = 20) or normal saline (control group, n = 20) 10 minutes after skin incision. Hemodynamic variables and esophageal and tympanic temperatures were recorded five minutes after anesthetic induction, five minutes after achieving a lateral position, every five minutes after carbon dioxide insufflation to the thoracic cavity, and at the end of surgery. Incidences and intensities of post-anesthetic shivering, and postoperative pain scores were recorded. Results: Median postoperative pain score was significantly lower in the Dexmedetomidine group than the control group (4(0 - 5) vs. 5 (3.25 - 6) (median (interquartile range)), P = 0.004). In the post-anesthetic care unit (PACU), the incidence of shivering was significantly lower in the Dexmedetomidine group than in the control group (0/20 (0%) vs. 6/20 (30%), P= 0.020); but the incidence of hypothermia was higher in the Dexmedetomidine group than in the control group (6/20 (30%) vs. 0/20 (0%), P= 0.020). Conclusions: A single intraoperative dose of Dexmedetomidine mu g/kg) may reduce postoperative shivering and pain scores, but it might also increase the incidence of postoperative hypothermia in patients undergoing Sevoflurane anesthesia for VAT wedge resection. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | KOWSAR PUBL | - |
dc.relation.isPartOf | IRANIAN RED CRESCENT MEDICAL JOURNAL | - |
dc.subject | ABDOMINAL HYSTERECTOMY | - |
dc.subject | OXYGEN-CONSUMPTION | - |
dc.subject | RISK-FACTORS | - |
dc.subject | DECREASES | - |
dc.subject | TRAMADOL | - |
dc.subject | SURGERY | - |
dc.subject | NEURONS | - |
dc.title | Antishivering Effect of Dexmedetomidine on Patients Undergoing Video-Assisted Thoracoscopic Wedge Resection | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000436364300003 | - |
dc.identifier.doi | 10.5812/ircmj.59839 | - |
dc.identifier.bibliographicCitation | IRANIAN RED CRESCENT MEDICAL JOURNAL, v.20, no.3 | - |
dc.identifier.scopusid | 2-s2.0-85050561385 | - |
dc.citation.title | IRANIAN RED CRESCENT MEDICAL JOURNAL | - |
dc.citation.volume | 20 | - |
dc.citation.number | 3 | - |
dc.contributor.affiliatedAuthor | Jo, Youn Yi | - |
dc.contributor.affiliatedAuthor | Lee, Kyung Cheon | - |
dc.contributor.affiliatedAuthor | Park, Hee Yeon | - |
dc.contributor.affiliatedAuthor | Kim, Ju Ho | - |
dc.contributor.affiliatedAuthor | Lee, Ji Yeon | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Anesthesia | - |
dc.subject.keywordAuthor | General | - |
dc.subject.keywordAuthor | Dexmedetomidine | - |
dc.subject.keywordAuthor | Shivering | - |
dc.subject.keywordPlus | ABDOMINAL HYSTERECTOMY | - |
dc.subject.keywordPlus | OXYGEN-CONSUMPTION | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | DECREASES | - |
dc.subject.keywordPlus | TRAMADOL | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | NEURONS | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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