Laparoscopic appendectomy under spinal anesthesia with dexmedetomidine infusion.
10.4097/kjae.2014.67.4.246
- Author:
Go Woon JUN
1
;
Min Su KIM
;
Hun Ju YANG
;
Tae Yun SUNG
;
Dong Ho PARK
;
Choon Kyu CHO
;
Hee Uk KWON
;
Po Soon KANG
;
Ju Ik MOON
Author Information
1. Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea. unt1231@naver.com
- Publication Type:Original Article
- Keywords:
Dexmedetomidine;
Laparoscopic appendectomy;
Spinal anesthesia
- MeSH:
Analgesia;
Anesthesia, Conduction;
Anesthesia, General;
Anesthesia, Spinal*;
Appendectomy*;
Bradycardia;
Conversion to Open Surgery;
Dexmedetomidine*;
Feasibility Studies;
Fentanyl;
Humans;
Ketamine
- From:Korean Journal of Anesthesiology
2014;67(4):246-251
- CountryRepublic of Korea
- Language:English
-
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.
