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January 1, 2011Journal of Anaesthesiology Clinical PharmacologyOpen Access

Comparative study of intrathecal dexmedetomidine with intrathecal magnesium sulfate used as adjuvants to bupivacaine

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Authors

DSDeepika ShuklaAVAnil VermaAAApurva Agarwal

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Overview

Randomized double-blind trial demonstrates faster onset and longer anesthesia with intrathecal dexmedetomidine compared to magnesium sulfate in surgical patients, highlighting its superior efficacy.

Key Points

  • To evaluate the onset, duration of sensory and motor blockade, and side-effect profile of intrathecal dexmedetomidine versus magnesium sulfate when combined with bupivacaine for spinal anesthesia.
  • Prospective, randomized, double-blind trial conducted in 90 ASA status I and II patients scheduled for lower abdominal and lower limb surgical procedures.
  • Patients were randomly allocated to receive 15 mg hyperbaric bupivacaine combined with either 10 μg dexmedetomidine (group D, n=30), 50 mg magnesium sulfate (group M, n=30), or normal saline (group C, n=30).
  • Onset times to reach peak sensory level and modified Bromage 3 motor block were significantly faster in group D compared with control group C, whereas onset was significantly prolonged in group M (P<0.05).
  • Total sensory and motor block durations were significantly longest in group D, followed by group M, with both adjuvants outlasting control group C (P<0.05).
  • Hemodynamic variables remained stable and comparable across all three groups, with no significant adverse events reported.

Cite This Study

Shukla et al. (2011) studied this question.

synapsesocial.com/papers/6a711de9e5469ee92be1bb7chttps://doi.org/10.4103/0970-9185.86594
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Role of the α <sub>2</sub> -Adrenoceptor Agonist Dexmedetomidine in Postsurgical Sedation in the Intensive Care Unit2003 · 239 citations
  2. 2Effect of low‐dose dexmedetomidine or clonidine on the characteristics of bupivacaine spinal block2006 · 545 citations
  3. 3Magnesium Sulfate Potentiates Morphine Antinociception at the Spinal Level2000 · 116 citations
  4. 4Combined intrathecal and epidural magnesium sulfate supplementation of spinal anesthesia to reduce post‐operative analgesic requirements: a prospective, randomized, double‐blind, controlled trial in patients undergoing major orthopedic surgery2007 · 139 citations
  5. 5Magnesium Sulfate Does Not Reduce Postoperative Analgesic Requirements2001 · 193 citations