Evaluation of the Adjuvant Effect of Dexmedetomidine on Ropivacaine for Transversus Abdominis Plane Block in Inguinal Hernia Repair: A Prospective Double-Blind Randomized Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Trial Design, Ethics and Participants
2.2. Anesthetic Procedure
2.3. Measurements and Study Endpoints
2.4. Statistics
3. Results
4. Discussion
5. Limitations
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | DR Group (n = 38) | R Group (n = 39) | p Value Between Groups |
---|---|---|---|
Age (years) | 63.3 ± 11.9 | 61.7 ± 15.1 | 0.609 # |
Gender (m/f) | 34/4 | 35/4 | 1.000 $ |
Weight (kg) | 78.2 ± 9.3 | 74.4 ± 8.5 | 0.062 # |
Height (cm) | 168.6 ± 7.4 | 171.0 ± 7.0 | 0.144 # |
ASA (I/II) | 26/12 | 24/15 | 0.694 % |
Duration of surgery (min) | 76.8 ± 16.7 | 72.0 ± 15.1 | 0.192 # |
Variables | DR Group (n = 38) | R Group (n = 39) | p Value Between Groups |
---|---|---|---|
Intraoperative remifentanil consumption (mcg kg−1) | 0 [0–0] | 0.55 [0–2.65] * | <0.001 ^ |
Morphine consumption (mg) (PACU) | 0 [0–1] | 0 [0–2] * | 0.012 ^ |
Morphine consumption (mg) (PCA) | 0 [0–2] | 2 [0–2] * | <0.001 ^ |
Overall morphine consumption (mg) postoperatively | 0 [0–2] | 3 [0–4] * | <0.001 ^ |
NRS (rest) during PACU stay | |||
5 min | 2 [1–3] | 2 [2–3] | 0.232 & |
15 min | 2 [2–3] | 3 [2–3] | 0.164 & |
30 min | 2 [2–3] | 3 [2–3] | 0.091 & |
60 min | 3 [2–3] | 3 [3–4] * | 0.006 & |
Postoperative NRS (rest) | |||
3 h | 2.5 [2–3] | 3 [3–3] * | 0.002 & |
6 h | 3 [2–3] | 3 [2–4] * | 0.032 & |
12 h | 2 [2–3] | 3 [2–3] * | 0.049 & |
24 h | 2 [1–2] | 2 [2–2] | 0.639 & |
Postoperative NRS (movement) | |||
3 h | 3 [3–3] | 3 [3–4] * | 0.013 & |
6 h | 3 [3–3] | 3.5 [3–5] * | 0.035 & |
12 h | 3 [2–3] | 3 [3–5] * | 0.042 & |
24 h | 2 [2–2] | 2 [2–3] | 0.349 & |
Incidence of hypotension, number of patients | 7 | 5 | 0.716 % |
Incidence of bradycardia, number of patients | 3 | 3 | 1.000 $ |
Sedation score | 1 [1–2] | 1 [1–2] | 0.550 ^ |
Patient satisfaction, Likert scale | 4 [3–4] | 4 [3–4] | 0.726 ^ |
PONV incidence, number of patients | 2 | 1 | 0.615 $ |
Request for ondansetron, number of patients | 1 | 1 | 1.000 $ |
Pain or abnormal sensation 6 months postoperatively, number of patients | 2/36 | 9/36 * | 0.049 % |
Pain or abnormal sensation 12 months postoperatively, number of patients | 1/36 | 3/36 | 0.614 $ |
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Theodoraki, K.; Koutalas, I.; Orfanou, C. Evaluation of the Adjuvant Effect of Dexmedetomidine on Ropivacaine for Transversus Abdominis Plane Block in Inguinal Hernia Repair: A Prospective Double-Blind Randomized Trial. J. Clin. Med. 2025, 14, 2478. https://doi.org/10.3390/jcm14072478
Theodoraki K, Koutalas I, Orfanou C. Evaluation of the Adjuvant Effect of Dexmedetomidine on Ropivacaine for Transversus Abdominis Plane Block in Inguinal Hernia Repair: A Prospective Double-Blind Randomized Trial. Journal of Clinical Medicine. 2025; 14(7):2478. https://doi.org/10.3390/jcm14072478
Chicago/Turabian StyleTheodoraki, Kassiani, Ioannis Koutalas, and Christina Orfanou. 2025. "Evaluation of the Adjuvant Effect of Dexmedetomidine on Ropivacaine for Transversus Abdominis Plane Block in Inguinal Hernia Repair: A Prospective Double-Blind Randomized Trial" Journal of Clinical Medicine 14, no. 7: 2478. https://doi.org/10.3390/jcm14072478
APA StyleTheodoraki, K., Koutalas, I., & Orfanou, C. (2025). Evaluation of the Adjuvant Effect of Dexmedetomidine on Ropivacaine for Transversus Abdominis Plane Block in Inguinal Hernia Repair: A Prospective Double-Blind Randomized Trial. Journal of Clinical Medicine, 14(7), 2478. https://doi.org/10.3390/jcm14072478