Clonidine Provides Superior Hemodynamic Stability and Analgesia over Midazolam-fentanyl under Monitored Anesthesia Care: Role of Catechol-O-methyltransferase Polymorphism

Clonidine-based MAC provided better intraoperative hemodynamic stability, prolonged analgesia, and reduced postoperative pain compared with midazolam-fentanyl, with minimal respiratory complications. The COMT rs4680 polymorphism did not significantly influence pain perception, highlighting the multifactorial nature of postoperative analgesic response.

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Publication Details

Journal
Annals of African Medicine
Published
2026-01-27
DOI
https://doi.org/10.4103/aam.aam_677_25
Primary Topic
Anesthesia and Sedative Agents
Type
article
Field-Weighted Citation Impact
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article

Clonidine Provides Superior Hemodynamic Stability and Analgesia over Midazolam-fentanyl under Monitored Anesthesia Care: Role of Catechol-O-methyltransferase Polymorphism

Ravi Kumar, Arun Kumar Singh, Rajni Gupta, Mithilesh Kumar et al.
Annals of African Medicine
Anesthesia and Sedative Agents
article

Clonidine Provides Superior Hemodynamic Stability and Analgesia over Midazolam-fentanyl under Monitored Anesthesia Care: Role of Catechol-O-methyltransferase Polymorphism

Ravi Kumar, Arun Kumar Singh, Rajni Gupta, Mithilesh Kumar, Nitu Nigam
article en

Abstract

Clonidine-based MAC provided better intraoperative hemodynamic stability, prolonged analgesia, and reduced postoperative pain compared with midazolam-fentanyl, with minimal respiratory complications. The COMT rs4680 polymorphism did not significantly influence pain perception, highlighting the multifactorial nature of postoperative analgesic response.

Annals of African Medicine
Lala Lajpat Rai Memorial Medical College (IN), King George's Medical University (IN)
Openalex Percentile: Top 76%
Anesthesia and Sedative Agents
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