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Pulmonary effects of dexmedetomidine infusion in thoracic aortic surgery under hypothermic circulatory arrest: a randomized placebo-controlled trial

Authors
 Seongsu Kim  ;  Soo Jung Park  ;  Sang Beom Nam  ;  Suk-Won Song  ;  Yeonseung Han  ;  Sangmin Ko  ;  Young Song 
Citation
 SCIENTIFIC REPORTS, Vol.11(1) : 10975, 2021-05 
Journal Title
SCIENTIFIC REPORTS
Issue Date
2021-05
Abstract
Dexmedetomidine has emerged as a promising organ protective agent. We performed prospective randomized placebo-controlled trial investigating effects of perioperative dexmedetomidine infusion on pulmonary function following thoracic aortic surgery with cardiopulmonary bypass and moderate hypothermic circulatory arrest. Fifty-two patients were randomized to two groups: the dexmedetomidine group received 1 µg/kg of dexmedetomidine over 20 min after induction of anesthesia, followed by 0.5 µg/kg/h infusion until 12 h after aortic cross clamp (ACC)-off, while the control group received the same volume of normal saline. The primary endpoints were oxygenation indices including arterial O2 partial pressure (PaO2) to alveolar O2 partial pressure ratio (a/A ratio), (A-a) O2 gradient, PaO2/FiO2 and lung mechanics including peak inspiratory and plateau pressures and compliances, which were assessed after anesthesia induction, 1 h, 6 h, 12 h, and 24 h after ACC-off. The secondary endpoints were serum biomarkers including interleukin-6, tumor necrosis factor-α, superoxide dismutase, and malondialdehyde (MDA). As a result, dexmedetomidine did not confer protective effects on the lungs, but inhibited elevation of serum MDA level, indicative of anti-oxidative stress property, and improved urine output and lower requirements of vasopressors.
Files in This Item:
T202102058.pdf Download
DOI
10.1038/s41598-021-90210-w
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 Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Sang Beom(남상범) ORCID logo https://orcid.org/0000-0002-9704-1866
Park, Soo Jung(박수정) ORCID logo https://orcid.org/0000-0003-2963-1394
Song, Suk Won(송석원) ORCID logo https://orcid.org/0000-0002-9850-9707
Song, Young(송영) ORCID logo https://orcid.org/0000-0003-4597-387X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184077
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