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April 1, 2022The Journal of Clinical and Scientific ResearchOpen Access

A comparative study of dexmedetomidine–propofol and fentanyl-propofol on perioperative haemodynamics, propofol requirement and post-operative recovery profile in patients undergoing elective abdominal surgeries - A prospective randomised double-blind study

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Key result

Dexmedetomidine-propofol provided better haemodynamic stability, reduced intraoperative propofol and fentanyl requirements, and prolonged postoperative analgesia compared to fentanyl-propofol.

Why the study?

Dexmedetomidine is gaining popularity for its sympatholytic, sedative, and haemodynamic stabilising properties without significant respiratory depression.

Does dexmedetomidine-propofol improve perioperative haemodynamics, reduce propofol requirement, and improve post-operative recovery compared to fentanyl-propofol in patients undergoing elective abdominal surgeries?

Population

60 ASA Grade I and II patients undergoing elective abdominal surgeries

Comparison

Dexmedetomidine-propofol vs fentanyl-propofol

Design

Prospective randomised double-blind study

Follow-up

24 h

Authors

KJKuraparthi JasmithaSri Venkateswara Institute of Medical SciencesHNHemanth NathamASAloka SamantaraySri Venkateswara Institute of Medical Sciences

Discussion

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Implication

May support dexmedetomidine-propofol as alternative; leaves open larger trials before changing induction practice.

Study Design

Type

RCT (n=60)

Blinding

Double-blind

Randomization

randomised

Structured PICO

Does dexmedetomidine-propofol improve perioperative haemodynamics, reduce propofol requirement, and improve post-operative recovery compared to fentanyl-propofol in patients undergoing elective abdominal surgeries?

P
Population
60 ASA Grade I and II patients undergoing elective abdominal surgeries.
I
Intervention
Dexmedetomidine 10 min prior to induction and continued as infusion, along with propofol titrated to maintain BIS around 40-60
C
Comparator
Fentanyl 10 min prior to induction and continued as infusion, along with propofol titrated to maintain BIS around 40-60
O
Outcome
Perioperative haemodynamics (heart rate), intra-operative propofol requirement, and post-operative recovery profile (time to extubation, time to Ramsay sedation score 2, time to first post-operative analgesic request)surrogate

Dexmedetomidine-propofol provides better haemodynamic stability, reduces anesthetic requirements, and improves recovery profiles compared to fentanyl-propofol in elective abdominal surgeries.

Cite This Study

Jasmitha et al. (2022) conducted an RCT in Elective abdominal surgeries (n=60). Dexmedetomidine vs. Fentanyl was evaluated on Perioperative haemodynamics, propofol requirement, and post-operative recovery profile. Dexmedetomidine-propofol provided better haemodynamic stability, reduced intraoperative propofol and fentanyl requirements, and prolonged postoperative analgesia compared to fentanyl-propofol.

synapsesocial.com/papers/6a8b8ed477493d51bfdede62https://doi.org/10.4103/jcsr.jcsr_2_21
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Also Consider

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

  1. 1Effect of dexmedetomidine to attenuate the sympathetic response of laryngoscopy and intubation and perioperative hemodynamic stability in patients undergoing neurosurgery2016 · 6 citations
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  3. 3Effects of dexmedetomidine on intraoperative hemodynamics and propofol requirement in patients undergoing laparoscopic cholecystectomy2017 · 34 citations
  4. 4The effect of dexmedetomidine infusion on propofol requirement for maintenance of optimum depth of anaesthesia during elective spine surgery2013 · 37 citations
  5. 5Patient well-being after general anaesthesia: a prospective, randomized, controlled multi-centre trial comparing intravenous and inhalation anaesthesia2003 · 129 citations