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329803

The effect of intravenous infusion of dexmedetomidine versus lidocaine as an analgesic adjuvant to balanced general anesthesia and enhanced recovery after abdominal surgery

Article

Last updated: 29 Dec 2024

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Abstract

Background
Intravenous dexmedetomidine and lidocaine have been shown to decrease perioperative surgical pain and analgesic consumption and facilitate the return of bowel function, decreasing post-operative hospitalization.
Results
On the first post-operative day, VAS score and total consumption of narcotics were statistically insignificant between the two groups. Heart rate and mean arterial pressure were significantly lower in the dexmedetomidine group than in the Lidocaine group all through the surgery ( value < 0.001). Post-operative nausea and vomiting were statistically higher in group D than in group L value 0.001).
Conclusions
The administration of either lidocaine or dexmedetomidine did not show superiority in post-operative analgesia or perioperative narcotics consumption. However, lidocaine infusion showed less drug-related side effects from the aspect of intraoperative hemodynamics stability, post-operative ileus, nausea, and vomiting.

DOI

10.1186/s42077-022-00258-7

Keywords

Dexmedetomidine, Lidocaine, Multimodal analgesia, Elective open abdominal surgery

Authors

First Name

Fatma Hassan

Last Name

Ibrahim

MiddleName

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Affiliation

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Email

fatma.hassan.2211@gmail.com

City

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Orcid

0000-0002-6568-578X

First Name

Soheir Abbas

Last Name

Mohamed

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Hadeel Magdy Abd El

Last Name

Hamid

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Amal Hamed

Last Name

Rabie

MiddleName

-

Affiliation

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Email

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City

-

Orcid

-

First Name

Maha Sadek El

Last Name

Derh

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

14

Article Issue

1

Related Issue

44741

Issue Date

2022-01-01

Receive Date

2022-08-02

Publish Date

2022-08-12

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_329803.html

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https://asja.journals.ekb.eg/service?article_code=329803

Order

329,803

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

The effect of intravenous infusion of dexmedetomidine versus lidocaine as an analgesic adjuvant to balanced general anesthesia and enhanced recovery after abdominal surgery

Details

Type

Article

Created At

20 Dec 2024