Cardiothoracic & vascular anesthesia

Co-administration of dexmedetomidine with total intravenous anaesthesia in carotid endarterectomy reduces requirements for propofol and improves haemodynamic stability: A single-centre, prospective, randomised controlled trial

Eur J AnaesthesiolPublished Randomised controlled trial

Authors' conclusion

Co-administration of dexmedetomidine to total intravenous anaesthesia for carotid endarterectomy decreased the effect-site concentrations of propofol required for burst suppression by 33%.

Study context

Population
Patients undergoing carotid endarterectomy with EEG-guided TIVA, University Hospital of Berne, Switzerland, October 2018 to September 2024
Participants
23 vs 22
Comparison
Dexmedetomidine added to TIVA vs TIVA alone
  • Controln = 23reference
  • Dexmedetomidinen = 22
Primary endpoint
Effect-site concentration of propofol required for burst suppression
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Propofol effect-site concentration for burst suppression

P < 0.001

Secondary outcomes

Total norepinephrine requirement

P = 0.015

Intraoperative neurophysiological monitoring

Dexmedetomidine did not affect intraoperative neurophysiological monitoring

Original publication

Co-administration of dexmedetomidine with total intravenous anaesthesia in carotid endarterectomy reduces requirements for propofol and improves haemodynamic stability: A single-centre, prospective, randomised controlled trial. Eur J Anaesthesiol. Published 11 November 2024. doi:10.1097/eja.0000000000002099

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