Anaesthetic Management with Dexmedetomidine for Intraoperative Awake Test in Correction of Scoliosis; a Case Report

Damage to spinal cord and its subsequent neurological deficits have been recognized as the complications of scoliosisrepair surgery. Wake up test has been a safe, simple and reliable method to recognize such complications. Dexmedetomidineand Sevoflurane were the main anaesthetics for a 14 year old girl who underwent a scoliosis repair surgery with the intraoperative wake-up test and hemodynamic stability. The analgesic property of Dexmedetomidine was complemented by thecontinuous Fentanyl infusion. Dexmedetomidine, Sevoflurane and continuous Fentanyl infusions were administered toachieve the maintenance of the anesthesia. These anaesthetic regimens produced a satisfactory result for the intra operativehemodynamic stability and the wake-up test with the minimum complication. Here, a case of scoliotic repair surgery waspresented using Dexmetomidine, Sevoflurane and Fentanyl infusion as the safe anaesthetic regimens.

Intraoperative Adjustment with Topical Anesthetics in Strabismus Surgery

For the better correction of strabismus surgery, various adjustable surgical technics are performed with general or retrobulbar anesthesia. Topical anesthetics with IV analgesics (Fentany 1 citrate) and sedative (Valium) can induce adequate pain control without inhibiting extraocular muscle activities and enable intraoperative adjustment easily and conveniently without the troublesome maneuver of postoperative adjustment and accompanying risk of infection Intraoperative adjustable surgery is better than postoperative adjustable surgery because it is easier to perform due to less tissue edema, enables to avoid the risk of retrobulbar or peribulbar anesthesia, and the risk of infection. We operated 20 strabismic patients aging 10 to 48 years using the intraoperative adjustment and topical anesthetics with the good success rate 90%, within +/- 10 delta after 5 weeks follow-up.

Intraoperative Adjustment with Topical Anesthetics in Strabismus Surgery

For the better correction of strabismus surgery, various adjustable surgical technics are performed with general or retrobulbar anesthesia. Topical anesthetics with IV analgesics (Fentany 1 citrate) and sedative (Valium) can induce adequate pain control without inhibiting extraocular muscle activities and enable intraoperative adjustment easily and conveniently without the troublesome maneuver of postoperative adjustment and accompanying risk of infection Intraoperative adjustable surgery is better than postoperative adjustable surgery because it is easier to perform due to less tissue edema, enables to avoid the risk of retrobulbar or peribulbar anesthesia, and the risk of infection. We operated 20 strabismic patients aging 10 to 48 years using the intraoperative adjustment and topical anesthetics with the good success rate 90%, within +/- 10 delta after 5 weeks follow-up.