Intra‐operative analgesia with remifentanil vs. dexmedetomidine: a systematic review and meta‐analysis with trial sequential analysis

S Grape, KR Kirkham, J Frauenknecht… - Anaesthesia, 2019‏ - Wiley Online Library
Intra‐operative remifentanil is associated with increased postoperative analgesic
requirements and opioid consumption. Dexmedetomidine has characteristics suggesting it …

[HTML][HTML] Opioid-free anesthesia benefit–risk balance: a systematic review and meta-analysis of randomized controlled trials

A Salomé, H Harkouk, D Fletcher… - Journal of clinical medicine, 2021‏ - mdpi.com
Opioid-free anesthesia (OFA) is used in surgery to avoid opioid-related side effects.
However, uncertainty exists in the balance between OFA benefits and risks. We searched for …

Opioid-free total intravenous anesthesia with propofol, dexmedetomidine and lidocaine infusions for laparoscopic cholecystectomy: a prospective, randomized, double …

M Bakan, T Umutoglu, U Topuz, H Uysal… - Revista brasileira de …, 2015‏ - SciELO Brasil
BACKGROUND AND OBJECTIVES: Intraoperative use of opioids may be associated with
postoperative hyperalgesia and increased analgesic consumption. Side effects due to …

Pharmacology of sedative-analgesic agents: dexmedetomidine, remifentanil, ketamine, volatile anesthetics, and the role of peripheral mu antagonists

O Panzer, V Moitra, RN Sladen - Critical care clinics, 2009‏ - criticalcare.theclinics.com
Dexmedetomidine is a highly selective alpha-2 agonist that provides anxiolysis and
cooperative sedation without respiratory depression. It decreases central nervous system …

An updated focused review of dexmedetomidine in adults

AT Gerlach, CV Murphy… - Annals of …, 2009‏ - journals.sagepub.com
Objective: To evaluate recent comparative studies regarding the safety and efficacy of
dexmedetomidine in adults. Data Sources: Articles evaluating safety and efficacy of …

Is intraoperative dexmedetomidine a new option for postoperative pain treatment? A meta-analysis of randomized controlled trials

A Schnabel, CH Meyer-Frießem, SU Reichl, PK Zahn… - PAIN®, 2013‏ - Elsevier
In the present meta-analysis, we assessed the efficacy and safety of intravenous
administration of dexmedetomidine (DEX) compared with placebo or opioids for acute …

The effect of intraoperative dexmedetomidine on postoperative analgesia and sedation in pediatric patients undergoing tonsillectomy and adenoidectomy

OA Olutoye, CD Glover, JW Diefenderfer… - Anesthesia & …, 2010‏ - journals.lww.com
BACKGROUND: The immediate postoperative period after tonsillectomy and
adenoidectomy, one of the most common pediatric surgical procedures, is often difficult …

Dexmedetomidine versus remifentanil in postoperative pain control after spinal surgery: a randomized controlled study

W Hwang, J Lee, J Park, J Joo - BMC anesthesiology, 2015‏ - Springer
Background Total intravenous anesthesia (TIVA) is used widely in spinal surgery because
inhalational anesthetics are known to decrease the amplitude of motor evoked potentials …

Dexmedetomidine combined with general anesthesia provides similar intraoperative stress response reduction when compared with a combined general and epidural …

Y Li, B Wang, L Zhang, S He, X Hu… - Anesthesia & …, 2016‏ - journals.lww.com
BACKGROUND: Epidural anesthesia may attenuate the sympathetic hyperactivity and stress
response from surgery. In this study, we compared the stress response, hemodynamic …

Effect of intravenous infusion of dexmedetomidine on perioperative haemodynamic changes and postoperative recovery: A study with entropy analysis

CR Patel, SR Engineer, BJ Shah… - Indian journal of …, 2012‏ - journals.lww.com
Background: Dexmedetomidine, an α2 agonist, when used as an adjuvant in general
anaesthesia attenuates stress response to various noxious stimuli, maintains perioperative …