Dexmedetomidine inhibits gastric emptying and oro-caecal transit in healthy volunteers

Abstract

Background. Dexmedetomidine is a potent and selective α2-adrenoceptor agonist used for perioperative and intensive care sedation with certain beneficial qualities. However, based on preclinical observations, it might inhibit gastric emptying and gastrointestinal transit, which could result in unwanted effects in intensive care patients. This study evaluated the effects of dexmedetomidine on gastric emptying and oro-caecal transit time in healthy volunteers. Methods. Twelve healthy male subjects were given 1 μg kg -1 of dexmedetomidine i.v. over 20 min followed by a continuous i.v. infusion of 0.7 μg kg-1 h-1 for 190 min. For comparison, subjects were also given 0.10 mg kg-1 of morphine hydrochloride i.v. over 20 min and a placebo infusion in a randomized order. Gastric emptying was assessed with the paracetamol absorption test and oro-caecal transit time with the hydrogen breath test. Results. The time to maximum paracetamol concentration in plasma was significantly longer, maximum paracetamol concentration was significantly lower, the area under the plasma paracetamol concentrationtime curve was significantly smaller, and oro-caecal transit time was significantly longer during dexmedetomidine infusion compared with morphine or placebo infusion. Conclusions. Dexmedetomidine markedly inhibits gastric emptying and gastrointestinal transit in healthy volunteers. © The Author [2010]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved.