Table of Contents Author Guidelines Submit a Manuscript
Anesthesiology Research and Practice
Volume 2016, Article ID 7172920, 7 pages
http://dx.doi.org/10.1155/2016/7172920
Clinical Study

Dexmedetomidine versus Magnesium Sulfate as Adjunct during Anesthesia for Laparoscopic Colectomy

1Department of Anesthesiology, Faculty of Medicine, Cairo University, Giza, Egypt
2Department of Anesthesiology, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt
3Department of General Surgery, Faculty of Medicine, Cairo University, Giza, Egypt

Received 12 December 2015; Revised 11 February 2016; Accepted 15 February 2016

Academic Editor: Yukio Hayashi

Copyright © 2016 Pierre Zarif et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To compare dexmedetomidine versus magnesium during laparoscopic colectomy. Patients and Methods. 51 patients were randomly allocated into 3 groups: group C (control) received saline infusion, group D dexmedetomidine 1 g/kg and then 0.4 g/kg/hr, and group M MgSO4 2 g and then 15 g/kg/min. Intraoperative hemodynamics were measured before and 1 min after intubation (T1 and T2), before and 5 min after peritoneal insufflation (T3 and T4), before and 5 min after 30° Trendelenburg position (T5 and T6), 5 min after resuming flat position (T7), 5 min after peritoneal deflations (T8), after extubation (T9), and at time of admission to PACU (T10). Recovery time and degree of sedation were assessed. Results. HR and MAP were significantly higher in T2, T4, and T6 compared to T1, T3, and T5, respectively, in all groups with lower measurements in groups D and M compared to group C. Mean of collective measurements was significantly higher in group C. Recovery time and sedation score were significantly higher in groups D and M. Time to Aldrete score of ≥9 was significantly longer in groups D and M. Conclusion. Both drugs ameliorate the pressor responses during LC with a nonsignificant difference. This study is registered with PACTR201602001481308.