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KMID : 0828520120160010039
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Journal of the Korean Geriatrics Society
2012 Volume.16 No. 1 p.39 ~ p.42
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Dexmedetomidine Sedation in an Old Patient for Revision Total Hip Arthroplasty
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Hong Seung-Hwan
Kim Gunn-Hee
Kil Ho-Young
Kim Mi-Rum
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Abstract
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A revision total hip arthroplasty(THA) that anticipated massive bleeding and the need for blood transfusion was sche- duled. The patient was a 73-year-old man who had well controlled hypertension. A combined spinal and epidural anesthesia was performed. Dexmedetomidine was administered from the beginning of the arterial and central line catheterization, until the end of the operation. During the 10 hours and 30 minutes surgery, the estimated blood loss was about 7,000mL, with a total infused red blood cell amount of 14 units, total fresh frozen plasma of 6 units, a total crystalloid of 6,850mL and of colloid 1,500mL. The Ramsay sedation score was maintained within 3 and the hemodynamic condition was stable. We found that dexmedetomidine can be safely used for sedation, even during an operation requiring massive transfusions and a prolonged operation time.
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KEYWORD
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Dexmedetomidine, Sedation, Spinal anesthesia, Total hip replacement
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