title: Intraoperative Dexmedetomidine Promotes Postoperative Analgesia and Recovery in Patients after Abdominal Hysterectomy: a Double-Blind, Randomized Clinical Trial.
abstract: Surgery-induced acute postoperative pain and stress response can lead to prolonged convalescence. The present study was designed to investigate the effects of intraoperative dexmedetomidine on postoperative analgesia and recovery following abdominal hysterectomy surgeries. Sixty-four patients scheduled for abdominal hysterectomy under general anesthesia were divided into two groups that were maintained using propofol/remifentanil/dexmedetomidine (PRD) or propofol/remifentanil/saline (PRS). During surgery, patients in the PRD group had a lower bispectral index (BIS) value, which indicated a deeper anesthetic state, and a higher sedation score immediately after extubation than patients in the PRS group. During the first 24 hours post-surgery, PRD patients consumed less morphine with patient-controlled analgesia (PCA) and had lower scores on a visual analogue scale (VAS) than their controls from the PRS group. The global 40-item quality of recovery questionnaire and 9-question fatigue severity score both showed higher recovery scores from day 3 after surgery in the PRD group. with the data are considered together, intraoperative administration of dexmedetomidine appeared to promote the analgesic properties of morphine-based PCA and to expedite recovery following surgery in patients undergoing abdominal hysterectomy.
authors.affiliation: Department of Anaesthesiology, Huai'an First People's Hospital, Nanjing Medical University, 6 Beijing Road West, Huai'an, Jiangsu, 223300, P.R. China.
authors.forename: Dong-Jian
authors.initials: DJ
authors.lastname: Ge
authors.affiliation: Department of Anaesthesiology, Huai'an First People's Hospital, Nanjing Medical University, 6 Beijing Road West, Huai'an, Jiangsu, 223300, P.R. China.
authors.forename: Bin
authors.initials: B
authors.lastname: Qi
authors.affiliation: Department of Anaesthesiology, Huai'an First People's Hospital, Nanjing Medical University, 6 Beijing Road West, Huai'an, Jiangsu, 223300, P.R. China.
authors.forename: Gang
authors.initials: G
authors.lastname: Tang
authors.affiliation: Department of Anaesthesiology, Huai'an First People's Hospital, Nanjing Medical University, 6 Beijing Road West, Huai'an, Jiangsu, 223300, P.R. China.
authors.forename: Jin-Yu
authors.initials: JY
authors.lastname: Li
mesh_terms: D016058:Analgesia, Patient-Controlled / Q000379:methods; D000768:Anesthesia, General / Q000379:methods; D018686:Anesthetics, Intravenous; D020927:Dexmedetomidine; D004311:Double-Blind Method; D005221:Fatigue / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007430:Intraoperative Care / Q000379:methods*; D008875:Middle Aged; D009020:Morphine / Q000627:therapeutic use; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control*; D010880:Piperidines; D015742:Propofol; D000077208:Remifentanil; D011795:Surveys and Questionnaires
chemical_list: D018686:Anesthetics, Intravenous; D010880:Piperidines; D020927:Dexmedetomidine; D009020:Morphine; D000077208:Remifentanil; D015742:Propofol