The combination is working wonders  in VERY PAINFUL and PROLONGED SURGERIES. Very less side effects, that too easily manageable  Very safe even in Geriatric patients,100mcg is sufficient No Respiratory depression even at 200mcg  Good HYPOTENSIVE Anaesthesia  No nausea , No vomiting Very comfortable even in apprehensive patients Very safe even in Obese patients, titrate  to the requirements Very less requirements of RESCUE ANALGESICS. Probably  due to sustained release of Dexmedetomidine  Can be used  along with General Anaesthesia in Prolonged cases.

Gross reduction in Muscle relaxant doses. I request everybody to try this combination or gradually increase the Dexmedetomidine dose you give INTRATHECALLY. And share your observations.