Laparoscopic appendectomy under spinal anesthesia with dexmedetomidine infusion / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 246-251, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-136233
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apendicectomia
/
Bradicardia
/
Fentanila
/
Estudos de Viabilidade
/
Dexmedetomidina
/
Conversão para Cirurgia Aberta
/
Analgesia
/
Anestesia por Condução
/
Anestesia Geral
/
Ketamina
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2014
Tipo de documento:
Artigo
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