Dexmedetomidine versus fentanyl effect as adjuvants to bupivacaine on post spinal urinary retention in knee joint arthroscopic surgeries

El-Saeid, Ghada M.; Bassiouny, Mohsen Abdghany; Sharabasy, Toqa H. Al; Abdelrahman, Tamer Nabil

doi:10.1080/11101849.2023.2182995

Cited by 1 publication

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, dexmedetomidine stimulates α2-adrenergic receptors in the central nervous system to increase urination urge along with muscle relaxation. Ghada et al reported significant differences in the incidence of urinary retention between the group treated with dexmedetomidine and the group treated with fentanyl [ 22 ]. Therefore, the use of dexmedetomidine as a sedative drug may be more effective in preventing postoperative urinary retention.…”

Section: Discussionmentioning

confidence: 99%

Conscious Sedation Methods for Blepharoplasty in Day Surgery

Lee

Bae

Kim

et al. 2023

JCM

View full text Add to dashboard Cite

Midazolam and fentanyl, in combination, are the most commonly used medications for conscious sedation in day aesthetic surgeries. Dexmedetomidine is popularly used in the sedation protocol of our hospital due to its reduced respiratory depression. However, its sedation benefits in facial aesthetic surgeries, like blepharoplasty, have not been well-evaluated. We retrospectively compared individuals sedated with midazolam and fentanyl bolus injection (N = 137) and those sedated with dexmedetomidine infusion (N = 113) to determine which is more suitable for blepharoplasty with a mid-cheek lift. The total amount of local anesthetic (p < 0.001), postoperative pain (p = 0.004), ketoprofen administration (p = 0.028), and the number of hypoxia episodes (p < 0.001) and intraoperative hypertension (p = 0.003) were significantly lower in the dexmedetomidine group. Hypoxia severity (p < 0.001) and minor hematoma formation (p = 0.007) were also significantly lower in the dexmedetomidine group. Sedation with dexmedetomidine infusion is associated with less hematoma formation than sedation with midazolam and fentanyl bolus pattern due to hemodynamic stability and analgesic effects. Dexmedetomidine infusion may be a good alternate sedative for lower blepharoplasty.

show abstract

Section: Discussionmentioning

confidence: 99%