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The effect of dexmedetomidine sedation on patient and surgeon satisfaction during retinal surgery under sub-tenon's anesthesia : a randomized controlled trial
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논문 기본 정보

Type
Academic journal
Author
김순임 (순천향대학교)
Journal
대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.5 KCI Accredited Journals
Published
2015.1
Pages
442 - 448 (7page)

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The effect of dexmedetomidine sedation on patient and surgeon satisfaction during retinal surgery under sub-tenon's anesthesia : a randomized controlled trial
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Background: The purpose of this study was to evaluate the effect of intraoperative dexmedetomidine sedation on patient’s and surgeon’s satisfaction during retinal surgery under sub-tenon’s anesthesia. Methods: Forty-four patients scheduled for elective retinal surgery under sub-tenon’s anesthesia were enrolled in this randomized controlled trial. The patients were divided into Dexmedetomidine (n = 22) and Control (n = 22) groups. Intravenous dexmedetomidine or 0.9% saline via infusion pump were administered continuously to the dexmedetomidine or control group, respectively. Ramsay sedation scale with a target level of 3–4 was used to assess adequacy of sedation. Perioperative pain, hemodynamic and respiratory data were collected, while satisfaction from patients and surgeon were assessed post-surgery using a 5-point satisfaction scale. Results: Patient and surgeon satisfaction was higher in the dexmedetomidine group (P < 0.001, P = 0.002, respectively). The pain associated with sub-tenon’s anesthesia and peripheral vitrectomy was lesser in the dexmedetomidine group than in the control group (P = 0.020). There was significant reduction of heart rate in the dexmedetomidine group (P = 0.001), but only one patient needed treatment with atropine. There was no respiratory effect on both groups. Conclusions: Dexmedetomidine sedation during retinal surgery improved satisfaction from both patient and surgeon without respiratory complication. It is a safe and preferable choice of sedation for retinal surgery.

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Woo JH / 2009 / Conscious sedation during ophthalmic surgery under local anesthesia / Minerva Anestesiol 75:211~219 google schola Au Eong KG / 2005 / Intraoperative visual experiences of cataract patients can be both pleasant and unpleasant / Br J Ophthalmol 89:1386 google schola Salmon JF / 1992 / Intravenous sedation for ocular surgery under local anaesthesia / Br J Ophthalmol 76:598~601 google schola Weinbroum AA / 2001 / The midazolam-induced paradox phenomenon is reversible by flumazenil. Epidemiology, patient characteristics and review of the literature / Eur J Anaesthesiol 18:789~797 google schola Cote GA / 2010 / Incidence of sedation-related complications with propofol use during advanced endoscopic procedures / Clin Gastroenterol Hepatol 8:137~142 google schola

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