Journals / Turkish Journal of Anaesthesiology and Reanimation / 2018 / Cilt: 46 - Sayı: 3

Effects of Alprazolam and Melatonin Used for Premedication on Oxidative Stress, Glicocalyx Integrity and Neurocognitive Functions

Pages
233–237
DOI
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Objective: The purpose of this investigation was to compare the effect of alprazolam and melatonin on oxidative stress, glicocalyx integrityand neurocognitive function in patients undergoing coronary artery bypass grafting (CABG).Methods: Overall, 42 patients undergoing CABG were retrospectively included in this study.

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Objective & Hypothesis:Objective: The purpose of this investigation was to compare the effect of alprazolam and melatonin on oxidative stress, glicocalyx integrityand neurocognitive function in patients undergoing coronary artery bypass grafting (CABG).Methods: Overall, 42 patients undergoing CABG were retrospectively included in this study.
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Key Findings & Data:Blood samples which preserved at −70°C for aprevious study were used for this study.
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Conclusion & Impact:Furthermore, Mini-Mental State Examination was recorded to measure neurocognitive function.Results: The total thiol levels which were measured as an antioxidant parameter were significantly higher, and free Hb values were significantlylower in the Group M compared to the Group A (p 0.05).Conclusion: In light of positive effects on oxidatif stress parameters, melatonin may be considered as a good and safe premedication agentwith its anxiolytic, antioxidant and minimal haemodynamic and respiratory effects.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: The purpose of this investigation was to compare the effect of alprazolam and melatonin on oxidative stress, glicocalyx integrityand neurocognitive function in patients undergoing coronary artery bypass grafting (CABG).Methods: Overall, 42 patients undergoing CABG were retrospectively included in this study. Blood samples which preserved at −70°C for aprevious study were used for this study. The participants were divided into two groups. Patients in the Group A were administered alprazolambefore the operation, whereas melatonin was used for premedication in the Group M. Blood samples were collected at three time points [T0:before anaesthesia induction, T1: admittance to intensive care unit (ICU), T2: 24 h after ICU admission], and oxidative stress parametersand glicocalyx integrity were evaluated. Furthermore, Mini-Mental State Examination was recorded to measure neurocognitive function.Results: The total thiol levels which were measured as an antioxidant parameter were significantly higher, and free Hb values were significantlylower in the Group M compared to the Group A (p 0.05).Conclusion: In light of positive effects on oxidatif stress parameters, melatonin may be considered as a good and safe premedication agentwith its anxiolytic, antioxidant and minimal haemodynamic and respiratory effects.

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Cite This Article

CAN, M. G., ULUGÖL, H., GÜNEŞ, I., AKSU, U., TOSUN, M., KARDUZ, G., VARDAR, K., TORAMAN, F. (2018). Effects of Alprazolam and Melatonin Used for Premedication on Oxidative Stress, Glicocalyx Integrity and Neurocognitive Functions. Turkish Journal of Anaesthesiology and Reanimation, Cilt: 46 - Sayı: 3, 233–237. https://ajindex.com/articles/370487

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