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A study on conscious sedation with alpha_2 -agonist and alpha_2-antagonist

Research Project

Project/Area Number 08045071
Research Category

Grant-in-Aid for international Scientific Research

Allocation TypeSingle-year Grants
SectionUniversity-to-University Cooperative Research
Research Field Surgical dentistry
Research InstitutionThe Nihon Dental University

Principal Investigator

YAMASHIRO Mikiko  The Nippon Dental University, Dental anesthesiology, Assistant professor, 歯学部, 講師 (70139294)

Co-Investigator(Kenkyū-buntansha) COULTHARD Paul  The University of Manchester, Turner Dental School Oral surgery, Senior lecturer, 歯学部, 講師
MIURA Makoto  The Nippon Dental University, Dental anesthesiology, Research fellow, 歯学部, 助手 (60147816)
FURUYA Hideki  The Nippon Dental University, Dental anesthesiology, Professor, 歯学部, 教授 (30060429)
PAUL Coultha  マンチェスター大学, 歯学部, 講師
Project Period (FY) 1996 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥4,300,000 (Direct Cost: ¥4,300,000)
Fiscal Year 1998: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 1997: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1996: ¥1,700,000 (Direct Cost: ¥1,700,000)
KeywordsIntravenous conscious sedation / clonidine hydrochloride / hemodynamics / stress hormones / sedativge effect / analgesic effect
Research Abstract

Clonidine is a prototype of alpha^2-agonist and was originally introduced to clinical practice as an antihypertensive drug. The objective of this study is to evaluate the effects of clonidine as anadjunct in intravenous conscious sedation. We assessed the effects on haemodynamic and adrenergic responses to nociceptive stimuli, sedation and analgesic effects. 20 volunteers received 2 mu g/kg of clonidine intravenously. Constant current, square-wave electric stimuli (duration 20 msec, interval 100 msec, train 10, 5 mA) were delivered as nociceptive stimuli to the median nerve. We measured blood pressure, heart rate(HR) every 5 min, and plasma levels of adrenaline, noradrenaline and cortisol before and 15, 30, 45, 60 and 90 min after clonidine injection, sedative and analgesic effects were measured by visual analogue scale before and 15, 30, 45, 60 and 90 min after drug. HR decreased significantly 0, 20, 30, 50 and 60 minutes after clonidine injection. The maximum decrease in HR was within 10% (8.4%). Systoli pressure(SP) decreased singnificantly 20 minutes later. There was no significant difference from the control at any point in diastolic pressure(DP). The decrease in SP was within 10%, and 2mug/kg of intravenous clonidine did not induce severe hypotension throughout the study in any subject. Clonidine produced significant decrease in adrenaline levels 15 and 60 minutes after intravenous injection. Noradrenaline concentrations significantly decreased 15, 60 and 90 minutes after the injection. Plasma cortisol levels showed significant differences from the control 15, 30, 60 and 90 minutes after clonidine administration. Dry mouth and fatigue or weariness were the most frequent perceptive side effects. 2 mu g/kg of intravenous clonidine did not induce severe bradycardia, hypotension or other serious side effects. it attenuated the adrenergic responses to nociceptive stimuli, and exerted good sedative effect.

Report

(4 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (9 results)

All Other

All Publications (9 results)

  • [Publications] 古屋 英毅, 他: "Problem related to local anesthesia." Journal of the Nippon Dental University. 2. 1-9 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 花俟 直利, 他: "三叉神経に対する治療法の実験的研究-星状神経節ブロックの有効性について-" 歯学(秋季特集号). 86. 536-537 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 石田 二郎, 他: "クロニジン添加リドカインが麻酔時間と循環動態に与える影響について" 日本歯科麻酔学会雑誌. 26. 43-49 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 岡本 豊, 他: "ラットにおけるミダゾラム麻酔下での交感神経反応抑制に関する実験的研究" 日本歯科麻酔学会雑誌. 26. 83-93 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 花俟 直利,他: "Effectiveness of cervical sympathetic ganglion block on trigeminal paralysis in rat" 発表予定.

    • Related Report
      1998 Annual Research Report
  • [Publications] 石田 二郎,他: "クロニジン添加リドカインが麻酔時間と循環動態に与える影響について" 日本歯科麻酔学会雑誌. 26・1. 43-49 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 岡本 豊,他: "ラットにおけるミダソラム麻酔下での交感神経反応抑制に関する実験的研究" 日本歯科麻酔学会雑誌. 26・1. 83-93

    • Related Report
      1998 Annual Research Report
  • [Publications] 石田 二郎, 他: "クロニジン添加リドカインが麻酔時間と循環動態に与える影響について" 日本歯科麻酔学会雑誌. 26・1. 43-49 (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 岡本 豊, 他: "ラットにおけるミダゾラム麻酔下での交感神経反応抑制に関する実験的研究" 日本歯科麻酔学会雑誌. 26・1. 83-92 (1998)

    • Related Report
      1997 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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