Precedex for the intraoperative wake-up test
- Author:
Tan Kristine Mae V.
;
Enriquez Ana Lea
- Publication Type:Case Reports
- MeSH:
Human;
Male;
Young Adult;
DEXMEDETOMIDINE;
SCOLIOSIS;
SPINAL FUSION;
SPINAL CORD
- From:
Philippine Journal of Anesthesiology
2007;19(2):68-77
- CountryPhilippines
- Language:English
-
Abstract:
This 22 years-old male under went spinal fusion for correction of a servere Thoraco-Lumbar Scoliosis (Cobb's angle at 65o (degree) under general anesthesia with O2-Sevoflurane (1-2 vol%),Atracurium (0.3 mg.kg-1.hr-1,) Dexmedetomidine (0.4 ug,kg-1.hr-1,). With discontinuation of Atracurium infusion 30 minutes and Sevoflurane 15 minutes before ake-up test, the patient was able to mov both feet on command with only Dexmedetomidineinfusion running. Upon establshing intact neurological function, the level of anesthesia as deepened using Propofol 50mg/IV, Atracurium 20mg/IV and Fentanyl 50 ug,/IV. Coorective spine surgery with pedicle rod and screw instrumentation, spinal fusion with iliac bone grafting was then continued and completed under Dexmedetomidine 0.2-2.4 ug.kg-1.hr-1, and O2-Sevoflurane at 1 vol%. Dexmedetomidine insusion was continued at 0.2 ug.kg-1.hr-1, at the Post-Anesthesia Care Unit. Postoperative course was likewise unremarkable with no recall of intra-operative events.
