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November 24, 2004AnesthesiologyOpen Access

Dexmedetomidine and Asystole

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Key result

Among 40 healthy women receiving dexmedetomidine during laparoscopic gynecological procedures, there was one case (2.5%) of severe bradycardia and one case (2.5%) of asystole.

Population

40 healthy patients aged 20-40 years scheduled for laparoscopic gynecological procedures

Design

Case_series

Follow-up

intraoperative

Authors

RVRogério Luiz da Rocha VideiraLinde (United States)RFRoberto Manara Victório FerreiraFundação de Apoio à Universidade Federal de São Paulo

Discussion

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Implication

May signal rare bradyarrhythmic risk with dexmedetomidine in laparoscopy; hypothesis-generating and requires confirmation in larger cohorts.

Structured PICO

P
Population
40 healthy women aged 20-40 years undergoing laparoscopic gynecological procedures who received a dexmedetomidine infusion.
I
Intervention
Dexmedetomidine (initial infusion 4 μg·kg−1·h−1 for 15 min followed by 0.3 μg·kg−1·h−1) added to sevoflurane, fentanyl, and cisatracurium
O
Outcome
Incidence of severe bradycardia and asystolesafety

Dexmedetomidine use during laparoscopic gynecological procedures may be associated with severe bradycardia and asystole.

Cite This Study

Videira et al. (2004) conducted a letter in Healthy patients undergoing laparoscopic gynecological procedures (n=40). Dexmedetomidine was evaluated on Asystole. Among 40 healthy women receiving dexmedetomidine during laparoscopic gynecological procedures, there was one case (2.5%) of severe bradycardia and one case (2.5%) of asystole.

synapsesocial.com/papers/6a95105fbfa5337e2a0f2e4ehttps://doi.org/10.1097/00000542-200412000-00037
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Also Consider

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  4. 4Expecting the Unexpected2008 · 9 citations
  5. 5Dexmedetomidine: Another Arrow for the Clinician's Quiver2004 · 63 citations