Journal of Surgical Research
Volume 159, Issue 1 , Pages e11-e16 , March 2010

Pretreatment with Dexmedetomidine or Thiopental Decreases Myoclonus after Etomidate: A Randomized, Double-Blind Controlled Trial

  • Ayse Mizrak, M.D.

      Affiliations

    • Department of Anesthesiology and Reanimation, Gaziantep University School of Medicine Gaziantep, Turkey
    • Corresponding Author InformationTo whom correspondence and reprint requests should be addressed at Department of Anesthesiology and Reanimation, Gaziantep University Medical Faculty, 27310 Sahinbey, Gaziantep, Turkey.
  • ,
  • Senem Koruk, M.D.

      Affiliations

    • Department of Anesthesiology and Reanimation, Gaziantep University School of Medicine Gaziantep, Turkey
  • ,
  • Murat Bilgi, M.D.

      Affiliations

    • Department of Anesthesiology and Reanimation, Gaziantep University School of Medicine Gaziantep, Turkey
  • ,
  • Betul Kocamer, M.D.

      Affiliations

    • Department of Anesthesiology and Reanimation, Gaziantep University School of Medicine Gaziantep, Turkey
  • ,
  • Ibrahim Erkutlu, M.D.

      Affiliations

    • Department of Neurosurgery, Gaziantep University School of Medicine Gaziantep, Turkey
  • ,
  • Suleyman Ganidagli, M.D.

      Affiliations

    • Department of Anesthesiology and Reanimation, Gaziantep University School of Medicine Gaziantep, Turkey
  • ,
  • Unsal Oner, M.D.

      Affiliations

    • Department of Anesthesiology and Reanimation, Gaziantep University School of Medicine Gaziantep, Turkey

Received 7 April 2009

References 

  1. Doenicke A, Roizen MF, Nebauer AE, et al. A comparison of two formulations for etomidate, 2-hydroxypropyl-beta-cyclodextrin (HPCD) and propylene glycol. Anesth Analg. 1994;79:933
  2. Hueter L, Schwarzkopf K, Simon M, et al. Pretreatment with sufentanil reduces myoclonus after etomidate. Acta Anaesthesiol Scand. 2003;47:482
  3. Doenicke AW, Roizen MF, Kugler J, et al. Reducing myoclonus after etomidate. Anesthesiology. 1999;90:113
  4. Schwarzkopf KR, Hueter L, Simon M, et al. Midazolam pretreatment reduces etomidate-induced myoclonic movements. Anaesth Intensive Care. 2003;31:18
  5. Guler A, Satilmis T, Akinci SB, et al. Magnesium sulfate pretreatment reduces myoclonus after etomidate. Anesth Analg. 2005;101:705
  6. Kelsaka E, Karakaya D, Sarihasan B, et al. Remifentanil pretreatment reduces myoclonus after etomidate. J Clin Anesth. 2006;18:83
  7. Fassoulaki A, Pateras C, Kaniaris P. [Fentanyl in the prevention of etomidate-induced myoclonus]. Cah Anesthesiol. 1987;35:201
  8. Yang J, Uchida I. Mechanisms of etomidate potentiation of GABAA receptor-gated currents in cultured postnatal hippocampal neurons. Neuroscience. 1996;73:69
  9. Doenicke A, Kugler J, Penzel G, et al. [Cerebral function under etomidate, a new non-barbiturate i.v. hypnotic (author's transl)]. Anaesthesist. 1973;22:357
  10. Doenicke A, Kugler A, Vollmann N, et al. [Etomidate using a new solubilizer. Experimental clinical studies on venous tolerance and bioavailability]. Anaesthesist. 1990;39:475
  11. Tanaka K, Oda Y, Funao T, et al. Dexmedetomidine decreases the convulsive potency of bupivacaine and levobupivacaine in rats: Involvement of alpha2-adrenoceptor for controlling convulsions. Anesth Analg. 2005;100:687
  12. Pirot S, Glowinski J, Thierry AM. Excitatory responses evoked in prefrontal cortex by mediodorsal thalamic nucleus stimulation: Influence of anaesthesia. Eur J Pharmacol. 1995;285:45
  13. Yang CR, Seamans JK, Gorelova N. Developing a neuronal model for the pathophysiology of schizophrenia based on the nature of electrophysiological actions of dopamine in the prefrontal cortex. Neuropsychopharmacology. 1999;21:161
  14. Aissaoui Y, Belyamani L, El Wali A, et al. [Prevention of myoclonus after etomidate using a priming dose]. Ann Fr Anesth Reanim. 2006;25:1041
  15. Liou JT, Hsu JC, Liu FC, et al. Pretreatment with small-dose ketamine reduces withdrawal movements associated with injection of rocuronium in pediatric patients. Anesth Analg. 2003;97:1294
  16. Bekker A, Sturaitis MK. Dexmedetomidine for neurological surgery. Neurosurgery. 2005;57:1;discussion 11
  17. Aho MS, Erkola OA, Scheinin H, et al. Effect of intravenously administered dexmedetomidine on pain after laparoscopic tubal ligation. Anesth Analg. 1991;73:112
  18. Memis D, Turan A, Karamanlioglu B, et al. Adding dexmedetomidine to lidocaine for intravenous regional anesthesia. Anesth Analg. 2004;98:835
  19. Liu H, Dai T, Yao S. Effect of thiopental sodium on N-methyl-D-aspartate-gated currents. Can J Anaesth. 2006;53:442
  20. Venn RM, Bradshaw CJ, Spencer R, et al. Preliminary UK experience of dexmedetomidine, a novel agent for postoperative sedation in the intensive care unit. Anaesthesia. 1999;54:1136
  21. Tatsuo MA, Yokoro CM, Salgado JV, et al. Hyperalgesic effect induced by barbiturates, midazolam and ethanol: Pharmacological evidence for GABA-A receptor involvement. Revista brasileira de pesquisas medicas e biologicas/Sociedade Brasileira de Biofisica. Brazilian J Med Biol Res. 1997;30:251
  22. Archer DP, Ewen A, Roth SH, et al. Plasma, brain, and spinal cord concentrations of thiopental associated with hyperalgesia in the rat. Anesthesiology. 1994;80:168
  23. Evans JM, Keogh JA. Adverse reactions to intravenous anaesthetic induction agents. Br Med J. 1977;2:735
  24. Stockham RJ, Stanley TH, Pace NL, et al. Fentanyl pretreatment modifies anaesthetic induction with etomidate. Anaesth Intensive Care. 1988;16:171

PII: S0022-4804(09)00400-4

doi: 10.1016/j.jss.2009.07.031

Journal of Surgical Research
Volume 159, Issue 1 , Pages e11-e16 , March 2010