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Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report
BACKGROUND AND OBJECTIVE: Some surgical procedures such as laryngoplasty require patients to remain conscious during the intraoperative phase in order to enable speech monitoring. Dexmedetomidine and remifentanil were used in this study, since they promote appropriate patient collaboration with faci...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391767/ https://www.ncbi.nlm.nih.gov/pubmed/29310828 http://dx.doi.org/10.1016/j.bjane.2017.09.005 |
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author | Andrade, Leonardo Riedi de Castiglia, Yara Marcondes Machado |
author_facet | Andrade, Leonardo Riedi de Castiglia, Yara Marcondes Machado |
author_sort | Andrade, Leonardo Riedi de |
collection | PubMed |
description | BACKGROUND AND OBJECTIVE: Some surgical procedures such as laryngoplasty require patients to remain conscious during the intraoperative phase in order to enable speech monitoring. Dexmedetomidine and remifentanil were used in this study, since they promote appropriate patient collaboration with facilitated awakening, and are rapidly eliminated. CASE REPORT: The patient complained of dysphonia, which had resulted from unilateral vocal fold paralysis after previous thyroidectomy. The surgical treatment was performed under local anesthesia in association with sedation using dexmedetomidine and remifentanil. The patient was stable and cooperative during the entire intraoperative period, without desaturation and with rapid postoperative awakening. CONCLUSION: Dexmedetomidine and remifentanil can be used for safe sedation; however, the presence of an anesthesiologist is required during the entire intraoperative period. |
format | Online Article Text |
id | pubmed-9391767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-93917672022-08-21 Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report Andrade, Leonardo Riedi de Castiglia, Yara Marcondes Machado Braz J Anesthesiol Clinical Information BACKGROUND AND OBJECTIVE: Some surgical procedures such as laryngoplasty require patients to remain conscious during the intraoperative phase in order to enable speech monitoring. Dexmedetomidine and remifentanil were used in this study, since they promote appropriate patient collaboration with facilitated awakening, and are rapidly eliminated. CASE REPORT: The patient complained of dysphonia, which had resulted from unilateral vocal fold paralysis after previous thyroidectomy. The surgical treatment was performed under local anesthesia in association with sedation using dexmedetomidine and remifentanil. The patient was stable and cooperative during the entire intraoperative period, without desaturation and with rapid postoperative awakening. CONCLUSION: Dexmedetomidine and remifentanil can be used for safe sedation; however, the presence of an anesthesiologist is required during the entire intraoperative period. Elsevier 2017-11-29 /pmc/articles/PMC9391767/ /pubmed/29310828 http://dx.doi.org/10.1016/j.bjane.2017.09.005 Text en © 2017 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Clinical Information Andrade, Leonardo Riedi de Castiglia, Yara Marcondes Machado Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
title | Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
title_full | Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
title_fullStr | Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
title_full_unstemmed | Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
title_short | Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
title_sort | sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
topic | Clinical Information |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391767/ https://www.ncbi.nlm.nih.gov/pubmed/29310828 http://dx.doi.org/10.1016/j.bjane.2017.09.005 |
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