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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-7-11
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pubmed:abstractText |
The effects of two doses of dexmedetomidine (0.3 or 0.6 micrograms.kg-1), fentanyl 2.0 micrograms.kg-1, or saline as a single intravenous bolus administered 10 min prior to the induction of anesthesia were assessed in double-blind, randomized study in 96 women undergoing abdominal hysterectomy. In each patient, anesthesia was induced with thiopental 4.0 mg.kg-1, and after the effect of succinylcholine had dissipated, isoflurane 0.3% end-tidal concentration in 70% nitrous oxide was begun to maintain anesthesia. The isoflurane concentration was adjusted to maintain blood pressure and heart rate within 20% of preoperative values, and fentanyl was given if the end-tidal isoflurane concentration exceeded 1.5%. In all groups, blood pressure and heart rate increased after tracheal intubation. However, the increase in blood pressure and heart rate was significantly less in the higher dexmedetomidine (0.6 micrograms.kg-1) group than in the saline group (P less than 0.01). Also, the postintubation increase in heart rate was significantly less (P less than 0.05) in the dexmedetomidine 0.6 micrograms.kg-1 group (increase of 18 +/- 3 beats per min) compared to the fentanyl group (increase of 26 +/- 3 beats per min). In patients receiving dexmedetomidine 0.3 micrograms.kg-1, the increase in blood pressure or heart rate did not differ from that of the saline group. The mean end-tidal isoflurane concentration was significantly less in the women receiving the higher dose of dexmedetomidine (0.35%) than in those receiving saline (0.47%) or fentanyl (0.48%), although the reduction was not clinically important.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic alpha-Agonists,
http://linkedlifedata.com/resource/pubmed/chemical/Hypnotics and Sedatives,
http://linkedlifedata.com/resource/pubmed/chemical/Imidazoles,
http://linkedlifedata.com/resource/pubmed/chemical/Isoflurane,
http://linkedlifedata.com/resource/pubmed/chemical/Medetomidine
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0003-3022
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
74
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
997-1002
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1675042-Adrenergic alpha-Agonists,
pubmed-meshheading:1675042-Adult,
pubmed-meshheading:1675042-Anesthesia, Inhalation,
pubmed-meshheading:1675042-Double-Blind Method,
pubmed-meshheading:1675042-Female,
pubmed-meshheading:1675042-Hemodynamics,
pubmed-meshheading:1675042-Humans,
pubmed-meshheading:1675042-Hypnotics and Sedatives,
pubmed-meshheading:1675042-Hysterectomy,
pubmed-meshheading:1675042-Imidazoles,
pubmed-meshheading:1675042-Injections, Intravenous,
pubmed-meshheading:1675042-Isoflurane,
pubmed-meshheading:1675042-Medetomidine,
pubmed-meshheading:1675042-Middle Aged,
pubmed-meshheading:1675042-Preanesthetic Medication
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pubmed:year |
1991
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pubmed:articleTitle |
The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy.
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pubmed:affiliation |
Department of Anesthesia, Women's Hospital, Helsinki University Central Hospital, Finland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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