Effect of Intravenous Dexmedetomidine During General Anesthesia on Acute Postoperative Pain in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Issue 12 (December 2018)

• Record Type: Journal Article
• Authors: Wang, Xiuqin; Liu, Naifu; Chen, Jinlong; Xu, Zan; Wang, Fumei; Ding, Chuan
• Is Part Of: Clinical journal of pain. Volume 34:Issue 12(2018)
• Publication Date: 2018-12
• Subjects: intravenous dexmedetomidine -- general anesthesia -- acute postoperative pain -- adults; Pain -- Periodicals; Pain -- Treatment -- Periodicals; Analgesia -- Periodicals; 616.047205
• DOI: 10.1097/AJP.0000000000000630
• Languages: English
• ISSNs: 0749-8047

Abstract

Abstract : Background: Dexmedetomidine has been shown to have an analgesic effect. However, no consensus was reached in previous studies. Methods: Electronic databases such as PubMed, Embase, and Cochrane Central were searched for relevant randomized controlled trials. The relative risk and weighted mean difference (WMD) were used to analyze the outcomes. Random-effects model was used for meta-analysis. Results: Compared with the normal saline group, patients using DEX showed a significantly decreased pain intensity within 6 hours [WMD=−0.93; 95% confidence interval (CI), −1.34 to −0.53) and at 24 hours after surgery (WMD=−0.47; 95% CI, −0.83 to −0.11). DEX usage significantly reduced the cumulative opioids consumption at 24 hours after surgery (WMD=−6.76; 95% CI, −10.16 to −3.35), decreased the rescue opioids consumption in postanesthesia care unit (WMD=−3.11; 95% CI, −5.20 to −1.03), reduced the risk of rescue analgesics (relative risk=0.49; 95% CI, 0.33-0.71), and the interval to first rescue analgesia was prolonged (WMD=34.93; 95% CI, 20.27-49.59). Conclusions: Intravenous DEX effectively relieved the pain intensity, extended the pain-free period, and decreased the consumption of opioids during postoperative recovery of adults in general anesthesia. Abstract : Supplemental Digital Content is available in the text.