Dexmedetomidine infusion as a supplement to isoflurane anaesthesia for vitreoretinal surgery

British Journal of Anaesthesia

Volumn 98, Issue 4, 2007, Pages 477-483

  Lee, Y Y S ^a   Wong, S M ^b   Hung, C T ^a  

^a QUEEN ELIZABETH HOSPITAL   (Hong Kong)

^b HONG KONG EYE HOSPITAL   (Hong Kong)

Author keywords

Anaesthesia, ophthalmic; Arterial pressure, drug effects; Eye, intraocular pressure; Sympathetic nervous system, dexmedetomidine

Indexed keywords

ATRACURIUM; ATROPINE; DEXMEDETOMIDINE; EPHEDRINE; FENTANYL; HYPERTENSIVE FACTOR; ISOFLURANE; LABETALOL; NEOSTIGMINE; OXYBUPROCAINE; OXYGEN; PHENYLEPHRINE; PLACEBO; PROPOFOL; ALPHA ADRENERGIC RECEPTOR STIMULATING AGENT; CENTRAL DEPRESSANT AGENT; INHALATION ANESTHETIC AGENT;

ADRENERGIC ACTIVITY; ADULT; ANESTHESIA INDUCTION; ANESTHETIC RECOVERY; ARTICLE; BOLUS INJECTION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG DOSE INCREASE; DRUG DOSE TITRATION; ELECTIVE SURGERY; ENDOTRACHEAL INTUBATION; EXTUBATION; FEMALE; GENERAL ANESTHESIA; HEART RATE VARIABILITY; HEMODYNAMICS; HUMAN; HYPOTENSION; INTRAOCULAR PRESSURE; LOADING DRUG DOSE; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; PREMEDICATION; PRESSURE MEASUREMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; VITREORETINOPATHY; BLOOD PRESSURE; DEVICE REMOVAL; DRUG EFFECT; MIDDLE AGED; RETINA; VITREOUS BODY;

ADJUVANTS, ANESTHESIA; ADRENERGIC ALPHA-AGONISTS; ADULT; ANESTHESIA RECOVERY PERIOD; ANESTHETICS, INHALATION; BLOOD PRESSURE; DEVICE REMOVAL; DEXMEDETOMIDINE; DOUBLE-BLIND METHOD; FEMALE; HUMANS; INTRAOCULAR PRESSURE; INTUBATION, INTRATRACHEAL; ISOFLURANE; MALE; MIDDLE AGED; RETINA; VITREOUS BODY;

EID: 34248225727     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aem040     Document Type: Article

References (25)

1. Ebert TJ, Hall JE, Barney JA, et al. The effects of increasing plasma concentrations of dexmedetomidine in humans. Anesthesiology 2000; 93: 382-94
2. Hall JE, Uhrich TD, Barney JA, Arain SR, Ebert TJ. Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions. Anesth Analg 2000; 90: 699-705
3. Aho M, Lehtinen A-M, Erkola O, Karttila K. The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy. Anesthesiology 1991; 74: 997-1002
4. Jaakola ML, Ali-Melkkila T, Kanto J, Kallio A, Scheinin H, Scheinin M. Dexmedetomidine reduces intraocular pressure, intubation responses and anaesthetic requirement in patients undergoing ophthalmic surgery. Br J Anaesth 1992; 68: 570-5
5. Scheinin B, Lindgren L, Randell T, Scheinin H, Scheinin M. Dexmedetomidine attenuates sympathoadrenal responses to tracheal intubation and reduces the need for thiopentone and peroperative fentanyl. Br J Anaesth 1992; 68: 126-31
6. Talke P, Chen R, Thomas B, et al. The hemodynamic and adrenergic effects of perioperative dexmedetomidine infusion after vascular surgery. Anesth Analg 2000; 90: 834-9
7. Virkkila M, Ali-Melkkila T, Kanto J, Turunen J, Scheinin H. Dexmedetomidine as intramuscular premedication for day-case cataract surgery. Anaesthesia 1994; 49: 853-8
8. Bruhn J, Kreuer S, Bischoff P, et al. Bispectral index and A-line AAI index as guidance for desflurane-remifentanil anaesthesia compared with a standard practice group: A multicentre study. Br J Anaesth 2005; 94: 63-9
9. Vereecke HEM, Struys MMRF, Mortier EP. A comparison of bispectral index and ARX-derived auditory evoked potential index in measuring the clinical interaction between ketamine and propofol anaesthesia. Anaesthesia 2003; 58: 957-61
10. Struys M, Fensen EW, Smith W, et al. Performance of the ARX-derived auditory evoked potential index as an indicator of anesthetic depth: A comparison with bispectral index and hemodynamic measures during propofol administration. Anesthesiology 2002; 96: 803-15
11. Iester M, Mermoud A, Achache F, Roy S. New Tonopen XL: Comparison with the goldmann tonometer. Eye 2001; 15: 52-8
12. Arian SR, Ruehlow RM, Uhrich TD, Ebert TJ. The efficacy of dexmedetomidine versus morphine for post-operative analgesia after major inpatient surgery. Anesth Analg 2004; 98: 153-8
13. Venn RM, Bradshaw CJ, Spencer R, et al. Preliminary UK experience of dexmedetomidine, a novel agent for postoperative sedation in the intensive care unit. Anaesthesia 1999; 54: 1136-42
14. Venn RM, Grounds RM. Comparison between dexmedetomidine and propofol for sedation in the intensive care unit: Patients and clinician perceptions. Br J Anaesth 2001; 87: 684-90
15. Jalowiecki P, Rudner R, Gonciarz M, Kawecki P, Petelenz M, Dziurdzik P. Sole use of dexmedetomidine has limited utility for conscious sedation during outpatient colonoscopy. Anesthesiology 2005; 103: 269-73
16. Erkola O, Korttila K, Aho M, Haasio J, Aantaa P, Kallio A. Comparison of intramuscular dexmedetomidine and midazolam premedication for elective abdominal hysterectomy. Anesth Analg 1994; 79: 646-53
17. Guler G, Akin A, Tosun Z, Eskitascoglu E, Mizrak A, Boyaci A. Single-dose dexmedetomidine attenuates airway and circulatory reflexes during extubation. Acta Anaesthesiol Scand 2005; 49: 1088-91
18. Guler G, Akin A, Tosun Z, Ors S, Esmaoglu A, Boyaci A. Single-dose dexmedetomidine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy. Paediatr Anaesth 2005; 15: 762-6
19. Hsu YW, Cortinez LI, Robertson KM, et al. Dexmedetomidine phCrmacodynamics: Part 1: crossover comparison of the respiratory effects of dexmedetomidine and remifentanil in healthy volunteers. Anesthesiology 2004; 101: 1066-76
20. Ho AMH, Chen S, Karmakar MK. Central apnoea after balanced general anaesthesia that included dexmedetomidine. Br J Anaesth 2005; 95: 773-5
21. Ledowski T, Bein B, Hanss R, et al. Neuroendocrine stress response and heart rate variability: A comparison of total intravenous versus balanced anesthesia. Anesth Analg 2005; 101: 1700-5
22. Jee D, Park YP. Lidocaine sprayed down the endotracheal tube attenuates the airway-circulatory reflexes by local anesthesia during emergence and extubation. Anesth Analg 2003; 96: 293-7
23. Fagan C, Frizelle HP, Laffey J, Hannon V, Carey M. The effects of intracuff lidocaine on endotracheal-tube-induced emergence phenomena after general anesthesia. Anesth Analg 2000; 91: 201-205
24. Cunningham AJ, Barry P. Intraocular pressure physiology and implications for anaesthetic management. Can Anaesth Soc J 1986; 33: 195-208
25. Chhabra A, Mishra S, Kumar A, Titiyal JS. Atropine-induced lens extrusion in an open eye surgery. Pediatr Anesth 2006; 16: 59-62