CONSORT the effect of intraoperative dexmedetomidine on hemodynamic responses during emergence from nasotracheal intubation after oral surgery
DC Field | Value | Language |
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dc.contributor.author | Jo, Youn Yi | - |
dc.contributor.author | Kim, Hong Soon | - |
dc.contributor.author | Lee, Kyung Cheon | - |
dc.contributor.author | Chang, Young Jin | - |
dc.contributor.author | Shin, Youseok | - |
dc.contributor.author | Kwak, Hyun Jeong | - |
dc.date.available | 2020-02-27T23:41:21Z | - |
dc.date.created | 2020-02-07 | - |
dc.date.issued | 2017-04 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/7453 | - |
dc.description.abstract | Background: Dexmedetomidine provides smooth emergence with reduced agitation. The authors hypothesized low-dose dexmedetomidine infusion might contribute to hemodynamic stability during and after nasotracheal tube extubation. Methods: Ninety-three adult patients scheduled for oral and maxillofacial surgery were enrolled in this prospective study. Patients were randomly assigned to receive normal saline (control group, n= 31), dexmedetomidine at 0.2 mu g/kg/h (DEX0.2 group, n= 31), or dexmedetomidine at 0.4 mu g/kg/h (DEX0.4 group, n= 31). Mean arterial pressure (MAP), heart rate (HR), and response entropy (RE) and state entropy (SE) were recorded during emergence from anesthesia. Results: Extubation times were similar in the 3 groups. Mean MAP was significantly lower at eye opening (T3) and immediately after extubation (T4) in the DEX0.2 (P=. 013 and.003, respectively) and DEX0.4 group (P=. 003 and.027, respectively) than in the control group. At T3 and T4, mean HR was significantly higher in the control group than in the DEX0.2 (P=. 014 and.022, respectively) or DEX0.4 groups (P=. 003 and <. 001, respectively). In the postanesthetic care unit, mean MAP and HR were significantly lower in the DEX0.2 (P=. 03 and.022, respectively) and DEX0.4 groups (P=. 027 and <. 001, respectively) than in the control group. Conclusion: Intraoperative dexmedetomidine infusion at rates of 0.2 or 0.4 mu g/kg/h during oral and maxillofacial surgery could provide stable hemodynamic profiles during anesthetic emergence from nasotracheal intubation without delaying extubation times. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.relation.isPartOf | MEDICINE | - |
dc.title | CONSORT the effect of intraoperative dexmedetomidine on hemodynamic responses during emergence from nasotracheal intubation after oral surgery | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000399716800055 | - |
dc.identifier.doi | 10.1097/MD.0000000000006661 | - |
dc.identifier.bibliographicCitation | MEDICINE, v.96, no.16 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85018297668 | - |
dc.citation.title | MEDICINE | - |
dc.citation.volume | 96 | - |
dc.citation.number | 16 | - |
dc.contributor.affiliatedAuthor | Jo, Youn Yi | - |
dc.contributor.affiliatedAuthor | Kim, Hong Soon | - |
dc.contributor.affiliatedAuthor | Lee, Kyung Cheon | - |
dc.contributor.affiliatedAuthor | Chang, Young Jin | - |
dc.contributor.affiliatedAuthor | Shin, Youseok | - |
dc.contributor.affiliatedAuthor | Kwak, Hyun Jeong | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | dexmedetomidine | - |
dc.subject.keywordAuthor | heart rate | - |
dc.subject.keywordAuthor | mean arterial pressure | - |
dc.subject.keywordAuthor | nasotracheal intubation | - |
dc.subject.keywordPlus | SPECTRAL ENTROPY | - |
dc.subject.keywordPlus | FASTER EMERGENCE | - |
dc.subject.keywordPlus | CARE-UNIT | - |
dc.subject.keywordPlus | ANESTHESIA | - |
dc.subject.keywordPlus | PROPOFOL | - |
dc.subject.keywordPlus | INFUSION | - |
dc.subject.keywordPlus | REMIFENTANIL | - |
dc.subject.keywordPlus | VOLUNTEERS | - |
dc.subject.keywordPlus | EXTUBATION | - |
dc.subject.keywordPlus | AGITATION | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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