Laparoscopic appendectomy under spinal anesthesia with dexmedetomidine infusion / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 246-251, 2014.
Article
in English
| WPRIM
| ID: wpr-136236
ABSTRACT
BACKGROUND:
Laparoscopic appendectomy (LA) is rarely performed under regional anesthesia because of pneumoperitoneum-related problems. We expected that dexmedetomidine would compensate for the problems arising from spinal anesthesia alone. Thus, we performed a feasibility study of spinal anesthesia with intravenous dexmedetomidine infusion.METHODS:
Twenty-six patients undergoing LA received spinal anesthesia with intravenous dexmedetomidine infusion. During surgery, the patient's pain or discomfort was controlled by supplemental fentanyl or ketamine injection, and all adverse effects were evaluated.RESULTS:
No patient required conversion to general anesthesia, and all operations were completed laparoscopically without conversion to open surgery. Seventeen (65.4%) patients required supplemental injection of fentanyl or ketamine. Bradycardia occurred in seven (26.9%) patients.CONCLUSIONS:
Spinal anesthesia with dexmedetomidine infusion may be feasible for LA. However, additional analgesia, sedation, and careful attention to the potential development of bradycardia are needed for a successful anesthetic outcome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendectomy
/
Bradycardia
/
Fentanyl
/
Feasibility Studies
/
Dexmedetomidine
/
Conversion to Open Surgery
/
Analgesia
/
Anesthesia, Conduction
/
Anesthesia, General
/
Ketamine
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2014
Type:
Article
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