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<Journal>
<PublisherName>journal-jmsr</PublisherName>
<JournalTitle>Journal of Medical and Surgical Research</JournalTitle>
<PISSN>I</PISSN>
<EISSN>S</EISSN>
<Volume-Issue>Vol. V, n 2</Volume-Issue>
<PartNumber/>
<IssueTopic>Multidisciplinary</IssueTopic>
<IssueLanguage>English</IssueLanguage>
<Season>December, 2018</Season>
<SpecialIssue>N</SpecialIssue>
<SupplementaryIssue>N</SupplementaryIssue>
<IssueOA>Y</IssueOA>
<PubDate>
<Year>-0001</Year>
<Month>11</Month>
<Day>30</Day>
</PubDate>
<ArticleType>JMSR Anesthesiology and IC</ArticleType>
<ArticleTitle>Comparison of the Effects of Dexmedetomidine and Remifentanil on Recovery Criteria for Patients Subject to total abdominal Hysterectomy under Intravenous Anesthesia with Propofol</ArticleTitle>
<SubTitle/>
<ArticleLanguage>English</ArticleLanguage>
<ArticleOA>Y</ArticleOA>
<FirstPage>544</FirstPage>
<LastPage>550</LastPage>
<AuthorList>
<Author>
<FirstName>Ali</FirstName>
<LastName>Khatibi</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>N</CorrespondingAuthor>
<ORCID/>
<FirstName>Alireza</FirstName>
<LastName>Pournajafian</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Mohammad Reza</FirstName>
<LastName>Ghodrati</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Faranak</FirstName>
<LastName>Rokhtabnak*</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Ali</FirstName>
<LastName>Seyedian</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
</Author>
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<DOI/>
<Abstract>Introduction: Postoperative pain and agitation are considerable post-operative challenges in post anesthesia care units. These complications prolong the recovery period and increase patient__ampersandsign#39;s morbidity and health care costs. The aim of this study was to compare the effects of dexmedmotidine and remifentanil on pain, sedation, nausea/vomiting complaint and duration of recovery period in patients undergoing hysterectomy under anesthesia with propofol.
Methods: This is a clinical trial study. Candidate patients for total abdominal hysterectomy (TAH) under intravenous general anesthesia at Firoozgar Hospital were considered the study. The patients were randomly divided into two groups: In group D, dexmedetomidine at a dose of 1 __ampersandsignmu;g/kg was infused in 15 minutes and then continued at a dose of 0.2 __ampersandsignmu;g/ kg/ min during the surgery. In group R, a continuous infusion dose of remifentanil with 0.1 __ampersandsignmu;g/ kg/ min from the beginning to the end of surgery. Data were analyzed by SPSS software version 22.
Results: The pain score according to the NRS criteria in patients receiving and remifentanil had mean and standard deviation of 1.55 ---PlusMinusSymbol--- 1.5 and 3.9 ---PlusMinusSymbol--- 1.48 respectively, and this difference was significant (p< 0.05). The sedation score in patients receiving dexmedetomidine was significantly higher than those receiving remifentanil (3.3 ---PlusMinusSymbol--- 0.8 vs 2.4 ---PlusMinusSymbol--- 0.68, p< 0.05). There was no significant difference between nausea and vomiting complaint in patients receiving dexmedetomidine and remifentanil during recovery (p> 0.05). Recovery time was significantly higher in patients receiving dexmedetomidine than in those receiving remifentanil (p< 0.05). Conclusion: The use of dexmedetomidine during surgery causes less pain score compared to remifentanil, but sedation and recovery time are more important.</Abstract>
<AbstractLanguage>English</AbstractLanguage>
<Keywords>Dexmedmotidine, Hysterectomy, Propofol, Remifentanil</Keywords>
<URLs>
<Abstract>https://journal-jmsr.net/ubijournal-v1copy/journals/abstract.php?article_id=5999&title=Comparison of the Effects of Dexmedetomidine and Remifentanil on Recovery Criteria for Patients Subject to total abdominal Hysterectomy under Intravenous Anesthesia with Propofol</Abstract>
</URLs>
<References>
<ReferencesarticleTitle>References</ReferencesarticleTitle>
<ReferencesfirstPage>16</ReferencesfirstPage>
<ReferenceslastPage>19</ReferenceslastPage>
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</References>
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