KMID : 0356920140670040246
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Korean Journal of Anesthesiology 2014 Volume.67 No. 4 p.246 ~ p.251
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Laparoscopic appendectomy under spinal anesthesia with dexmedetomidine infusion
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Jun Go-Woon
Kim Min-Su Yang Hun-Ju Sung Tae-Yun Park Dong-Ho Cho Choon-Kyu Kwon Hee-Uk Kang Po-Soon Moon Ju-Ik
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Abstract
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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.
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KEYWORD
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Dexmedetomidine, Laparoscopic appendectomy, Spinal anesthesia
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