Identifying the Minimal Effective Dose of Dexmedetomidine Infusion for Post-Operative Pain Control in Laparoscopic Cholecystectomy Patients
Muhammad Arif Baloch, Nazeer Ahmed, Muhammad Sharif, Zafarullah, Yasir Reda Toble
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ABSTRACT
Objective: To compare the frequency of need of rescue analgesia
and time of first rescue analgesia) of two different doses 0.2 μg/kg/h and 0.4
μg/kg/h of IV dexmedetomidine in patients undergoing laparoscopic cholecystectomy
(LC).
Material and Methods: A total number of 68 patients
planned for LC under general anesthesia were included from January-2020 to
January-2021. The patients were
randomly divided into two groups; group D1 patients received
dexmedetomidine 0.2 μg/kg/h i.v and group D2: received dexmedetomidine0.4
μg/kg/h i.v. After shifting the
patient in recovery unit, the need of rescue analgesia and time of first rescue
analgesia was noted for each patient.
Results: Mean age of patients
was 42.64±13.54 years. There were 47 (69.12%) females and 21 (30.88%) male
patients. Rescue analgesia was needed by 16 patients (47.1 %) in group D1 and
07 patients (20.6 %) in group D2. The time of first rescue analgesia was
167.50±11.64 minutes in groups D1 and 263.44±19.03 minutes in group D2 (p-value
of <0.001).
Conclusion: Dexmedetomidine
in an infusion dosage of 0.4 µg/kg/hour is helpful in providing adequate
postoperative analgesia.
Keywords: Rescue analgesia, dexmedetomidine, laparoscopic
cholecystectomy