Dexmedetomidine in cancer surgeries: Present status and consequences with its use

Indian J Cancer. 2020 Jul-Sep;57(3):234-238. doi: 10.4103/ijc.IJC_376_19.

Abstract

Dexmedetomidine is a centrally acting α2 adrenoreceptor agonist used in perioperative medicine due to its sedative, analgesic and sympatholytic properties. Recently animal data has pointed towards potential role of dexmedetomidine in promoting cancer recurrence and metastasis when used perioperatively especially after breast surgeries. This is because of presence of α2 adrenoreceptors in breast cancer tissue. We reviewed existing literature in which dexmedetomidine was used in cancer surgeries and investigated its role in recurrence and metastasis.

Keywords: Cancer; Dexmedetomidine; alpha-2 agonist; metastasis; recurrence.

Publication types

  • Review

MeSH terms

  • Dexmedetomidine / pharmacology
  • Dexmedetomidine / therapeutic use*
  • Humans
  • Hypnotics and Sedatives / pharmacology
  • Hypnotics and Sedatives / therapeutic use*
  • Neoplasms / drug therapy*
  • Neoplasms / surgery

Substances

  • Hypnotics and Sedatives
  • Dexmedetomidine