Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study
ABSTRACTBackground General anesthesia organizes the best option for controlled blood pressure during rhinoplasty surgery. The primary agent applied in controlling hypotension should have particular unique characteristics. The peripheral and central sympatholytic attainment of dexmedetomidine is usua...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Egyptian Journal of Anaesthesia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/11101849.2023.2242645 |
| _version_ | 1797768160794902528 |
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| author | Mohamed Abdelgawad Abdelhalim Aboelsuod Sameh Hamdy Seyam |
| author_facet | Mohamed Abdelgawad Abdelhalim Aboelsuod Sameh Hamdy Seyam |
| author_sort | Mohamed Abdelgawad Abdelhalim Aboelsuod |
| collection | DOAJ |
| description | ABSTRACTBackground General anesthesia organizes the best option for controlled blood pressure during rhinoplasty surgery. The primary agent applied in controlling hypotension should have particular unique characteristics. The peripheral and central sympatholytic attainment of dexmedetomidine is usually indicated by low blood pressure and low heart rate. Magnesium sulfate is among the best agents used.Objective Determine the influence of both dexmedetomidine and magnesium sulfate on hemodynamic parameters for patients undergoing rhinoplasty surgeries after general anesthesia.Patients and methods This is a randomized prospective comparative study. Fifty-six patients got enrolled and divided into two categories. Group 1 (n = 28): Received a priming dose of dexmedetomidine 1 microgram/kg before induction then 0.4 µg/kg/h. Group 2 (n = 28): Received 30 mg/kg of magnesium sulfate as a priming dose before induction and then 10 mg/kg/h during the time of the procedure.Results No significant differences were seen between the two groups regarding the MAP. There were significant differences among the groups in heart rate (p < 0.05). The patients in the second group experienced higher bleeding scores than those in the first group. The first group had a higher surgeon satisfaction rate than the second group (p < 0.05). The first group had more time to arrive at the Aldrete score of less than or equal to 9 than that of the second group of patients.Conclusion Dexmedetomidine has high effectiveness in attaining controlled hypotension in patients undergoing rhinoplasty. Magnesium sulfate requires extra nitroglycerine. Dexmedetomidine possesses a potent analgesic impact with a reduced analgesic requirement duration compared to magnesium sulfate.Registration trial The study was approved by clinical trials registration (NCT05880693). |
| first_indexed | 2024-03-12T20:49:35Z |
| format | Article |
| id | doaj.art-c44e66bc5aad42b585ab2abd7c0df592 |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-03-12T20:49:35Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-c44e66bc5aad42b585ab2abd7c0df5922023-08-01T05:45:29ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492023-12-0139165766410.1080/11101849.2023.2242645Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative studyMohamed Abdelgawad Abdelhalim Aboelsuod0Sameh Hamdy Seyam1Department of Anesthesia, Intensive Care & Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Anesthesia, Intensive Care & Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, EgyptABSTRACTBackground General anesthesia organizes the best option for controlled blood pressure during rhinoplasty surgery. The primary agent applied in controlling hypotension should have particular unique characteristics. The peripheral and central sympatholytic attainment of dexmedetomidine is usually indicated by low blood pressure and low heart rate. Magnesium sulfate is among the best agents used.Objective Determine the influence of both dexmedetomidine and magnesium sulfate on hemodynamic parameters for patients undergoing rhinoplasty surgeries after general anesthesia.Patients and methods This is a randomized prospective comparative study. Fifty-six patients got enrolled and divided into two categories. Group 1 (n = 28): Received a priming dose of dexmedetomidine 1 microgram/kg before induction then 0.4 µg/kg/h. Group 2 (n = 28): Received 30 mg/kg of magnesium sulfate as a priming dose before induction and then 10 mg/kg/h during the time of the procedure.Results No significant differences were seen between the two groups regarding the MAP. There were significant differences among the groups in heart rate (p < 0.05). The patients in the second group experienced higher bleeding scores than those in the first group. The first group had a higher surgeon satisfaction rate than the second group (p < 0.05). The first group had more time to arrive at the Aldrete score of less than or equal to 9 than that of the second group of patients.Conclusion Dexmedetomidine has high effectiveness in attaining controlled hypotension in patients undergoing rhinoplasty. Magnesium sulfate requires extra nitroglycerine. Dexmedetomidine possesses a potent analgesic impact with a reduced analgesic requirement duration compared to magnesium sulfate.Registration trial The study was approved by clinical trials registration (NCT05880693).https://www.tandfonline.com/doi/10.1080/11101849.2023.2242645Controlled hypotensiondexmedetomidinemagnesiumbleeding |
| spellingShingle | Mohamed Abdelgawad Abdelhalim Aboelsuod Sameh Hamdy Seyam Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study Egyptian Journal of Anaesthesia Controlled hypotension dexmedetomidine magnesium bleeding |
| title | Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study |
| title_full | Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study |
| title_fullStr | Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study |
| title_full_unstemmed | Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study |
| title_short | Dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries: A prospective randomized comparative study |
| title_sort | dexmedetomidine versus magnesium sulfate for controlled hypotension during rhinoplasty surgeries a prospective randomized comparative study |
| topic | Controlled hypotension dexmedetomidine magnesium bleeding |
| url | https://www.tandfonline.com/doi/10.1080/11101849.2023.2242645 |
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