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Efficacy of intraoperative dexmedetomidine infusion on visualization of the surgical field in endoscopic sinus surgery

DC FieldValueLanguage
dc.contributor.author하상희-
dc.contributor.author김창훈-
dc.contributor.author최승호-
dc.date.accessioned2016-02-04T11:53:37Z-
dc.date.available2016-02-04T11:53:37Z-
dc.date.issued2015-
dc.identifier.issn2005-6419-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/141434-
dc.description.abstractBACKGROUND: In endoscopic sinus surgery, visualization of the surgical field is a major concern, as surgical bleeding is the cause of many complications. The purpose of this study was to compare the effects of dexmedetomidine and remifentanil on the visualization of the surgical field in endoscopic sinus surgery. METHODS: Forty-three patients were prospectively enrolled and randomly allocated to the dexmedetomidine or remifentanil group and general anesthesia was induced and maintained using a propofol target-controlled infusion. In the dexmedetomidine group, dexmedetomidine was loaded for 5 min and a continuous infusion was administered. In the remifentanil group, a remifentanil target-controlled infusion was used. After completion of the operation, the satisfaction with the visualization of the surgical field was assessed on a numeric rating scale, from 0 (= worst) to 10 (= best). The mean blood pressure, heart rate, recovery profiles, and postoperative pain score were recorded. RESULTS: Satisfaction score for visualization by numeric rating scale was not significantly different between the two groups (P = 0.95). There were no differences in the mean blood pressure and heart rate. The extubation time was significantly shorter in the dexmedetomidine group (8.4 ± 1.8 min) than in the remifentanil group (11.9 ± 5.4 min) (P = 0.04). Except for the extubation time, the recovery profiles of the two groups were comparable. CONCLUSIONS: Continuous infusions of dexmedetomidine provide a similar visualization of the surgical field and hemodynamic stability as remifentanil target-controlled infusions in patients undergoing endoscopic sinus surgery.-
dc.description.statementOfResponsibilityopen-
dc.format.extent449~454-
dc.relation.isPartOfKOREAN JOURNAL OF ANESTHESIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleEfficacy of intraoperative dexmedetomidine infusion on visualization of the surgical field in endoscopic sinus surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorHyunzu Kim-
dc.contributor.googleauthorSang Hee Ha-
dc.contributor.googleauthorChang Hoon Kim-
dc.contributor.googleauthorSang Hoon Lee-
dc.contributor.googleauthorSeung Ho Choi-
dc.identifier.doi10.4097/kjae.2015.68.5.449-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04251-
dc.contributor.localIdA04101-
dc.contributor.localIdA01050-
dc.relation.journalcodeJ01963-
dc.identifier.eissn2005-7563-
dc.identifier.pmid26495054-
dc.subject.keywordBlood loss-
dc.subject.keywordDexmedetomidine-
dc.subject.keywordRemifentanil-
dc.subject.keywordSinusitis-
dc.contributor.alternativeNameHa, Sang Hee-
dc.contributor.alternativeNameKim, Chang Hoon-
dc.contributor.alternativeNameChoi, Seung Ho-
dc.contributor.affiliatedAuthorHa, Sang Hee-
dc.contributor.affiliatedAuthorChoi, Seung Ho-
dc.contributor.affiliatedAuthorKim, Chang Hoon-
dc.rights.accessRightsfree-
dc.citation.volume68-
dc.citation.number5-
dc.citation.startPage449-
dc.citation.endPage454-
dc.identifier.bibliographicCitationKOREAN JOURNAL OF ANESTHESIOLOGY, Vol.68(5) : 449-454, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

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