Article Text

Download PDFPDF
Addition of Dexmedetomidine Prolongs Duration of Vasodilation Induced by Sympathetic Block With Mepivacaine in Dogs
  1. Masatomo Tezuka, M.D.,
  2. Toshimitsu Kitajima, M.D., Ph.D.,
  3. Shigeki Yamaguchi, M.D., Ph.D.,
  4. Yoshiyuki Kimura, M.D., Ph.D. and
  5. Shinsuke Hamaguchi, M.D., Ph.D.
  1. From the Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi, Japan
  1. Reprint requests: Toshimitsu Kitajima, M.D., Ph.D., Department of Anesthesiology, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan. E-mail: kitajima{at}dokkyomed.ac.jp

Abstract

Background and Objectives The aim of this study was to examine the duration of vasodilation induced by sympathetic block with the addition of dexmedetomidine to mepivacaine.

Methods We measured right and left brachial artery blood flow (BABF) before and after stellate ganglion block used as a sympathetic block in dogs. The experimental protocol was designed as follows: (1) left stellate ganglion block using 1.0 mL 0.5% mepivacaine (n = 8), (2) left stellate ganglion block using the addition of dexmedetomidine 0.5 μg to 1.0 mL 0.5% mepivacaine (n = 8), and (3) left stellate ganglion block using the addition of dexmedetomidine 0.5 μg to 1.0 mL physiological saline solution (n = 8).

Results Left stellate ganglion block with mepivacaine alone increased left BABF significantly from 5 minutes through 50 minutes after the block (baseline, 100%; peak at 10 minutes after SGB, 181 ± 27%; P < .01). Left stellate ganglion block with the addition of dexmedetomidine to mepivacaine induced a significant increase of left BABF from 5 minutes through 90 minutes after the block (baseline, 100%; peak at 10 minutes after SGB, 174 ± 36%; P < .01). Left and right BABF did not change significantly after stellate ganglion block with dexmedetomidine only. Right BABF decreased significantly after left stellate ganglion block with mepivacaine alone or the addition of dexmedetomidine to mepivacaine throughout the study.

Conclusions The addition of dexmedetomidine prolongs the duration of vasodilation induced by stellate ganglion block with mepivacaine used for sympathetic block in dogs.

  • Dexmedetomidine
  • Sympathetic block
  • Stellate ganglion block
  • Arterial blood flow

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.