Comparison of the Effects of Dexmedetomidine Versus Fentanyl on Airway Reflexes and Hemodynamic Responses to Tracheal Extubation During Rhinoplasty: A Double-Blind, Randomized, Controlled Study

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AKSU R., Akin A., BİÇER C., Esmaoglu A., TOSUN Z., BOYACI A.

CURRENT THERAPEUTIC RESEARCH-CLINICAL AND EXPERIMENTAL, cilt.70, sa.3, ss.209-220, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 70 Sayı: 3
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1016/j.curtheres.2009.06.003
  • Dergi Adı: CURRENT THERAPEUTIC RESEARCH-CLINICAL AND EXPERIMENTAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.209-220
  • Anahtar Kelimeler: dexmedetomidine, fentanyl, tracheal extubation, rhinoplasty, ATTENUATES CARDIOVASCULAR-RESPONSES, LARYNGEAL MASK, EMERGENCE, ANESTHESIA, LARYNGOSPASM, LIDOCAINE, EXPERIENCE, DESFLURANE, PRESSURE, SEDATION
  • Erciyes Üniversitesi Adresli: Evet

Özet

BACKGROUND: Stimulation of various sites, from the nasal mucosa to the diaphragm, can evoke laryngospasm. To reduce airway reflexes, tracheal extubation should be performed while the patient is deeply anesthetized or with drugs that do not depress ventilation. However, tracheal extubation during rhinoplasty may be difficult because of the aspiration of blood and the possibility of laryngospasm. Dexmedetomidine and fentanyl both have sedative and analgesic effects, but dexmedetomidine has been reported to induce sedation without affecting respiratory status.