Anesthetic Effect of Dexmedetomidine in Clinical Functional Neurosurgery

Author:

Zhu Yuanmao1,Pang Gang2,Lu Bing1,Jiang Ling2,Rao Chuanhua2,Tong Shanshan2ORCID

Affiliation:

1. Department of Pain, Jiangjin Central Hospital of Chongqing, 725 Jiangzhou Avenue, Dingshan Street, Jiangjin District, Chongqing, 402260, China

2. Department of Anesthesiology, Jiangjin Central Hospital of Chongqing, 725 Jiangzhou Avenue, Dingshan Street, Jiangjin District, Chongqing, 402260, China

Abstract

Background. Dexmedetomidine is a highly selective and efficient α2-adrenoceptor agonist with good antianxiety, analgesic, hypnotic, and sedative effects without causing respiratory depression. Aim. To investigate the anesthetic effect of dexmedetomidine in clinical neurosurgery. Methods. A total of 94 patients who received functional neurosurgical treatment in our hospital from March 2019 to October 2020 were selected and divided into the study and control groups. Routine anesthesia was adopted in the control group, while dexmedetomidine was used in the study group. Perioperative hemodynamic indicators such as mean arterial pressure, heart rate, and peripheral capillary oxygen saturation, cognitive function score, pain score VAS, stress response index level, and incidence of adverse reactions were compared between the two groups. Results. Before surgery (T0), no significant differences in MAP, HR, and SpO2 were observed between the two groups. However, at the beginning of the operation (T1), 30 min after the operation (T2), and immediately after the operation (T3), these indicators in the study group were significantly higher than in the control group. The postoperative MMSE of the study group 3 d later was significantly higher than that of the control group. The VAS scores after the operation of the study group were lower than those of the control group. The serum cortisol (COR) and aldosterone (ALD) levels in the study group were not significantly different from those in the control group before surgery. The levels of each index in the two groups were higher than those before and 24 h after surgery. The incidence rate of adverse reactions in the study group was lower. Conclusion. The application of dexmedetomidine in clinical functional neurosurgery is safe and can maintain hemodynamic stability and reduce the degree of stress response, cognitive impairment, and pain caused by invasive surgery.

Publisher

Hindawi Limited

Subject

Biochemistry (medical),Clinical Biochemistry,Genetics,Molecular Biology,General Medicine

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