Dexmedetomidine for intraoperative sedation in a severe Chronic obstructive pulmonary disease patient for lower limb amputation under regional anesthesia - A novel choice

Authors

  • Anubhav Sharma Tribhuvan University Teaching Hospital, Institute of Medicine and Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu
  • Madindra Basnet Manmohan Cardiothoracic Vascular and Transplant Centre, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu
  • Bishwas Pradhan Manmohan Cardiothoracic Vascular and Transplant Centre, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu

DOI:

https://doi.org/10.3126/jsan.v2i1.13557

Keywords:

Conscious sedation, Dexmedetomidine, Regional anaesthesia

Abstract

The effective management of sedation and analgesia in severe chronic obstructive pulmonary disease patients provides a challenge to the anaesthesiologists and critical care practitioners. Choosing the appropriate agent or combination of agents for sedation is crucial in order to alleviate noxious stimuli, stress and anxiety while minimizing the risk of adverse events. We selected epidural anaesthesia and dexmedetomidine to preserve spontaneous breathing and obtained appropriate sedative and analgesic effect without causing respiratory depression and hemodynamic changes in a patient diagnosed to have chronic obstructive pulmonary disease undergoing femoral to tibial bypass with amputation of right foot.

Journal of Society of Anesthesiologists of Nepal 2015; 2(1): 34-36

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Author Biography

Anubhav Sharma, Tribhuvan University Teaching Hospital, Institute of Medicine and Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu

Resident, Department of Anaesthesiology and Critical Care

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Published

2015-10-01

How to Cite

Sharma, A., Basnet, M., & Pradhan, B. (2015). Dexmedetomidine for intraoperative sedation in a severe Chronic obstructive pulmonary disease patient for lower limb amputation under regional anesthesia - A novel choice. Journal of Society of Anesthesiologists of Nepal, 2(1), 34–36. https://doi.org/10.3126/jsan.v2i1.13557

Issue

Vol. 2 No. 1 (2015)

Section

Case Reports

License

© Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.