Conscious sedation using dexmedetomidine for percutaneous transcatheter closure of atrial septal defects: A single center experience.
Ann Card Anaesth
;
2016 July; 19(3): 463-467
Article
in English
| IMSEAR
| ID: sea-177431
ABSTRACT
Objective:
The aim of this study is to determine safety and feasibility of conscious sedation using dexmedetomidine for transcatheter atrial septal defect (ASD) device closure. Materials andMethods:
A retrospective institutional review of transcatheter ASD device closure without endotracheal intubation over 18 months. The protocol included topical oropharyngeal anesthesia using lignocaine followed by dexmedetomidine bolus 1 μg/kg intravenously over 10 min and maintenance dose 0.2–0.7 μg/kg/h. Ramsay sedation score 2–3 was maintained. Patients were analyzed regarding demographic profile, device size, procedure time, anesthesia time, recovery time, hospital stay, and any hemodynamic or procedural complications.Results:
A total of 43 patients with mean age 31.56 ± 13.74 years (range 12–56 years) were analyzed. Mean anesthesia duration was 71.75 + 21.08 min. Mean recovery time was 7.6 ± 3.01 min. 16 females and one male patient required additional propofol with a mean dose of 30.8 ± 10.49 mg. No hemodynamic instability was noted. No patient required general anesthesia with endotracheal intubation. The procedure was successful in 93.02% of patients. Four patients developed atrial fibrillation. All patients were satisfied.Conclusion:
Conscious sedation using dexmedetomidine is a safe and effective anesthetic technique for percutaneous ASD closure.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Language:
English
Journal:
Ann Card Anaesth
Year:
2016
Type:
Article
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