Dexmedetomidine as an adjuvant to bupivacaine in ultrasound-guided serratus anterior plane block in patients undergoing video-assisted thoracoscopic surgeries
Background The purpose of this study was the assessment of the analgesic and hemodynamic implications of dexmedetomidine used as an additive to bupivacaine in ultrasound-guided serratus anterior plane (SAP) block for patients undergoing video-assisted thoracoscopic surgeries (VATS ) under general an...
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Veröffentlicht in: | Ain-Shams journal of anesthesiology 2021-09, Vol.13 (1), p.1-8, Article 55 |
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Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
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Zusammenfassung: | Background
The purpose of this study was the assessment of the analgesic and hemodynamic implications of dexmedetomidine used as an additive to bupivacaine in ultrasound-guided serratus anterior plane (SAP) block for patients undergoing video-assisted thoracoscopic surgeries (VATS ) under general anesthesia.
Results
The hemodynamic stability was maintained perioperatively with no significant difference of MBP and HR recordings between the two study groups (
P
> 0.05). The time to 1st postoperative analgesic demand was significantly longer in group BD than in group B (
P
< 0.05). The postoperative total nalbuphine and rescue ketorolac requirements were significantly lower in group BD than in group B (
P
0.05). Ramsay sedation scores were significantly higher in the group BD than in group B in the initial 1st h after surgery (
P
< 0.05) with no significant difference at the subsequent postoperative recordings (
P
> 0.05).
Conclusion
Using dexmedetomidine (0.5 μg/kg) as an additive to bupivacaine for SAP block prolongs the duration of postoperative analgesia and reduces the postoperative analgesic requirements in the 1st 24 h after VATS without any significant side effects. |
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ISSN: | 2090-925X 1687-7934 2090-925X |
DOI: | 10.1186/s42077-021-00171-5 |