The effects of pre‐operative dexmedetomidine infusion on hemodynamics in patients with pulmonary hypertension undergoing mitral valve replacement surgery

Acta Anaesthesiologica Scandinavica - Tập 50 Số 10 - Trang 1207-1212 - 2006
Abdülkadir But1, Ülkü Özgül1, Feray Erdil1, Nurçin Gülhaş1, Hüseyin İlksen Toprak1, Mahmut Durmuş1, M. Özcan Ersoy1
1Inonu University School of Medicine,Malatya/Turkey

Tóm tắt

Background:  The aim of this study was to investigate the effects of pre‐operative dexmedetomidine infusion on hemodynamics in patients with pulmonary hypertension undergoing mitral valve replacement surgery.Methods:  Patients were randomly divided into placebo (group P, n= 16) and dexmedetomidine (group D, n= 16) groups. In group D, a 1 μg/kg bolus dose of dexmedetomidine was administered 10 min before the induction of anesthesia, followed by a 0.4 μg/kg/h infusion until the surgical incision. Anesthesia was induced with lidocaine (1 mg/kg), midazolam (0.2 mg/kg) and fentanyl (5 μg/kg) in both groups. Anesthesia was maintained with 0.5% isoflurane and fentanyl depending on the hemodynamic situation. The hemodynamic values during the investigation were obtained.Results:  In group D, the mean arterial pressure (MAP), mean pulmonary arterial pressure (MPAP) and pulmonary capillary wedge pressure (PCWP) were decreased effectively in comparison with the values in the placebo group (P < 0.05), and there was an attenuation in the increase in the systemic vascular resistance index (SVRI) and pulmonary vascular resistance index (PVRI) at the post‐sternotomy period.Conclusions:  The pre‐operative administration of the α2‐agonist dexmedetomidine decreases the fentanyl requirement and attenuates the increase in SVRI and PVRI at the post‐sternotomy period relative to the baseline levels, and decreases effectively MAP, MPAP and PCWP in comparison with the values in the placebo group, in patients with pulmonary hypertension undergoing mitral valve replacement surgery.

Từ khóa


Tài liệu tham khảo

10.1213/01.ANE.0000062523.67426.0B

10.1213/00000539-200004000-00011

10.1111/j.1399-6576.1997.tb04796.x

10.1097/00000542-199212000-00014

10.1097/01.aco.0000174958.05383.d5

10.1126/science.273.5276.803

10.1097/00000542-200008000-00016

10.1111/j.1399-6576.2005.00780.x

10.1097/00000539-199603000-00021

10.1097/00000542-200310000-00017

Fann JI, 2003, Cardiac Surgery in the Adult, 901

10.1097/00000542-199702000-00009

10.1097/00000542-199106000-00005

10.1097/00000542-199503000-00003

10.1097/00000542-198707000-00003

10.1213/00000539-199410000-00006

10.1213/00000539-199212000-00011

10.1097/00000542-199306000-00008

10.1097/00000542-199404000-00017

10.1016/S0002-8703(76)80404-8

Thông tin
Thông tin xuất bản

Acta Anaesthesiologica Scandinavica

Tập 50 Số 10

1207-1212

Thông tin tác giả