Comparative Study Between Dexmedetomidine And Magnesium sulfate Added to Bupivacaine In Spinal Anesthesia For Postoperative Analgesia In Patients Undergoing Perianal Surgeries | ||
| Sohag Medical Journal | ||
| Article 17, Volume 21, Issue 1, January 2017, Pages 183-189 PDF (292.86 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/smj.2017.40543 | ||
| Authors | ||
| Ahemed Abd El Rahman; Khaled Hassan; Mohamed Mohamed | ||
| Department of Anesthesiology and Critical Care Surgery Faculty of Medicine, University of Sohag | ||
| Abstract | ||
| Spinal anesthesia is the most commonly used technique for lower abdominal surgeries as it is very economical and easy to administer. A number of adjutants, such as Opioids , Clonidine, and Midazolam have been studied to prolong the effect of spinal anesthesia (ELIA , et al 2008). Dexmedetomidine a new highly selective a2- agonist is under evaluation as a neuraxial adjuvant as it provides stable hemodynamic conditions, good quality of intraoperative and postoperative analgesia with minimal side effects(Kanazi and Al-Ghanem 2009). Magnesium sulfate (Mg) is an antagonist of N-methyl D Aspartate receptor (NMDA) improves postoperative analgesia after intrathecal administration as an effective adjuvant to bupivacaine (Soave and Arcangeli 2009). Aim of the work To compare the postoperative analgesic effects and any side effects ofdexmedetomidine and magnesium sulfate (Mg) when added to bupivacaine in spinal anesthesia in patientsundergoing perianal surgeries. Patients and methods Ninty ASA physical status I and II patients aged 18-70 years, of either sex, scheduled for perianal surgeries under spinal anesthesia in this prospective randomized, double-blinded study. Results All the Mg cases needed analgesia within 4 hours postoperative, while for all the Dex cases needed analgesia within5 hours postoperative. The difference between the two groups was highly significant. | ||
| Keywords | ||
| Spinal anesthesia; Postoperative Analgesia; Dexmedetomidine; magnesium sulfate; Perianal Surgeries | ||
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