Publication Date
1-1-2023
Journal
Drug, Design, Development and Therapy
Abstract
OBJECTIVE: To investigate the feasibility of multimodal regimen by paracetamol, gabapentin, ketamine, lidocaine, dexmedetomidine and sufentanil among cardiac surgery patients, and compare the analgesia efficacy with conventional sufentanil-based regimen.
DESIGN: A single-center, prospective, randomized, controlled clinical trial.
SETTING: One participating center, the cardiovascular center of the major integrated teaching hospital.
PARTICIPANTS: A total of 115 patients were assessed for eligibility: 108 patients were randomized, 7 cases were excluded.
INTERVENTIONS: The control group (group T) received conventional anesthesia management. Interventions in the multimodal group (group M) were as follows in addition to the standard of care: gabapentin and acetaminophen 1 hour before surgery; ketamine for induction and to maintain anesthesia with lidocaine and dexmedetomide. Ketamine, lidocaine, and dexmedetomidine were added to routine sedatives postoperatively in group M.
MEASUREMENTS AND MAIN RESULTS: The incidence of moderate-to-severe pain on coughing made no significant difference (68.5% vs 64.8%,
CONCLUSION: Our multimodal regimen in cardiac surgery is feasible, but was not superior to traditional sufentanil-based regimen in the aspects of analgesia effects; however, it did reduce perioperative opioid consumption along with rescue analgesia rate. Moreover, it showed the same length of stay and the incidences of postoperative complications.
Keywords
Humans, Ketamine, Sufentanil, Dexmedetomidine, Gabapentin, Prospective Studies, Analgesia, Cardiac Surgical Procedures, Lidocaine, Chronic Pain, Acetaminophen, cardiac surgery, multimodal analgesia, prognosis
Included in
Anesthesiology Commons, Cardiology Commons, Cardiovascular Diseases Commons, Pain Management Commons