Dexmedetomidine attenuates the positive chronotropic effects of intravenous atropine in patients with bradycardia during spinal anaesthesia: a retrospective study

Dexmedetomidine attenuates the positive chronotropic effects of intravenous atropine in patients with bradycardia during spinal anaesthesia: a retrospective study

Introduction Dexmedetomidine is a sedative used during spinal anaesthesia. However, it frequently induces bradycardia. Although intravenous atropine is often used for treating bradycardia during regional anaesthesia, the response to atropine might be attenuated by concomitantly administering sedativ...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:JA Clinical Reports 2018-09, Vol.4 (1), p.70-70, Article 70
Hauptverfasser: Fujii, Emi, Tanaka-Mizuno, Sachiko, Fujino, Kazunori, Fujii, Masashi, Furuno, Masae, Sugimoto, Yasushi, Takabuchi, Satoshi, Eguchi, Yutaka
Format: Artikel
Sprache:eng
Schlagworte:
Analysis
Anesthesiology
Atropine
Bradycardia
Cardiac arrhythmia
Care and treatment
Clinical
Clinical Research Article
Complications and side effects
Critical Care Medicine
Dexmedetomidine
Diagnosis
Dosage and administration
Emergency Medicine
Health aspects
Health risk assessment
Heart rate
Intensive
Medicine
Medicine & Public Health
Pain Medicine
Spinal anaesthesia
Spinal surgery
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Introduction Dexmedetomidine is a sedative used during spinal anaesthesia. However, it frequently induces bradycardia. Although intravenous atropine is often used for treating bradycardia during regional anaesthesia, the response to atropine might be attenuated by concomitantly administering sedatives. Methods We examined the effects of atropine used for treating bradycardia during spinal anaesthesia among patients receiving dexmedetomidine (D group), propofol (P group), or neither (nonDnonP group) for sedation, retrospectively. Results A total of 108 patients were included. Heart rate was significantly slower at all time points in the D group ( n  = 69) than in the nonDnonP group ( n  = 14) ( p  
ISSN:2363-9024
2363-9024
DOI:10.1186/s40981-018-0207-9