The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome
Purpose. Failed back surgery syndrome is a chronic pain condition requiring rapid, effective, and efficient management. This study evaluates the effect of adding dexmedetomidine to lumbar epidural steroids in patients with failed back surgery syndrome. Methods. Fifty patients suffering from failed b...
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| Format: | Article |
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Wiley
2016-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/7198048 |
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| author | Ashraf Eskandr Sadik Abdel Maseeh |
| author_facet | Ashraf Eskandr Sadik Abdel Maseeh |
| author_sort | Ashraf Eskandr |
| collection | DOAJ |
| description | Purpose. Failed back surgery syndrome is a chronic pain condition requiring rapid, effective, and efficient management. This study evaluates the effect of adding dexmedetomidine to lumbar epidural steroids in patients with failed back surgery syndrome. Methods. Fifty patients suffering from failed back surgery syndrome were randomly assigned to one of two groups, receiving an epidural injection of 20 mL of either a mixture of betamethasone (14 mg) and bupivacaine 0.5 mg (group C) or a mixture of betamethasone (14 mg), bupivacaine 0.5 mg, and dexmedetomidine (0.5 μg/kg) (group D) adjusted to the volume with normal saline. The effect was evaluated using visual analogue scale (VAS), analgesic requirement, and Oswestry disability index 2 weeks, 4 weeks, 8 weeks, and 12 weeks after injection. Results. VAS and ibuprofen consumption showed a significant reduction in group D. The Oswestry disability index was significantly improved in group D. There were no records of hypotension, bradycardia, sedation, or hypoxemia in both groups. Conclusion. The present study demonstrated potential safe and effective usage of adding dexmedetomidine to epidural steroid to control pain in patients with failed back surgery syndrome. |
| format | Article |
| id | doaj-art-2a1fb4555cf84ccd9922d3f6be6f5ef1 |
| institution | OA Journals |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
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| series | Anesthesiology Research and Practice |
| spelling | doaj-art-2a1fb4555cf84ccd9922d3f6be6f5ef12025-08-20T02:03:59ZengWileyAnesthesiology Research and Practice1687-69621687-69702016-01-01201610.1155/2016/71980487198048The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery SyndromeAshraf Eskandr0Sadik Abdel Maseeh1Department of Anaesthesia, ICU and Pain Therapy, Faculty of Medicine, Menoufiya University, Shibin El-Koom 32518, EgyptDepartment of Anaesthesia, ICU and Pain Therapy, Faculty of Medicine, Menoufiya University, Shibin El-Koom 32518, EgyptPurpose. Failed back surgery syndrome is a chronic pain condition requiring rapid, effective, and efficient management. This study evaluates the effect of adding dexmedetomidine to lumbar epidural steroids in patients with failed back surgery syndrome. Methods. Fifty patients suffering from failed back surgery syndrome were randomly assigned to one of two groups, receiving an epidural injection of 20 mL of either a mixture of betamethasone (14 mg) and bupivacaine 0.5 mg (group C) or a mixture of betamethasone (14 mg), bupivacaine 0.5 mg, and dexmedetomidine (0.5 μg/kg) (group D) adjusted to the volume with normal saline. The effect was evaluated using visual analogue scale (VAS), analgesic requirement, and Oswestry disability index 2 weeks, 4 weeks, 8 weeks, and 12 weeks after injection. Results. VAS and ibuprofen consumption showed a significant reduction in group D. The Oswestry disability index was significantly improved in group D. There were no records of hypotension, bradycardia, sedation, or hypoxemia in both groups. Conclusion. The present study demonstrated potential safe and effective usage of adding dexmedetomidine to epidural steroid to control pain in patients with failed back surgery syndrome.http://dx.doi.org/10.1155/2016/7198048 |
| spellingShingle | Ashraf Eskandr Sadik Abdel Maseeh The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome Anesthesiology Research and Practice |
| title | The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome |
| title_full | The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome |
| title_fullStr | The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome |
| title_full_unstemmed | The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome |
| title_short | The Effect of Dexmedetomidine on Lumbar Epidural Injection for Failed Back Surgery Syndrome |
| title_sort | effect of dexmedetomidine on lumbar epidural injection for failed back surgery syndrome |
| url | http://dx.doi.org/10.1155/2016/7198048 |
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