Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.bjan.2017.09.008 http://hdl.handle.net/11449/175714 |
Resumo: | 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. |
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Repositório Institucional da UNESP |
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Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case reportSedação com dexmedetomidina e remifentanil em anestesia local para monitoração intraoperatória da fala: um relato de casoDexmedetomidineLaryngoplastyRemifentanilBackground 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.Sociedade Brasileira de Anestesiologia (SBA) Centros de Ensino e Treinamento (CET)Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP) Faculdade de Medicina Departamento de AnestesiologiaUniversidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP) Faculdade de Medicina Departamento de AnestesiologiaCentros de Ensino e Treinamento (CET)Universidade Estadual Paulista (Unesp)Andrade, Leonardo Riedi de [UNESP]Castiglia, Yara Marcondes Machado [UNESP]2018-12-11T17:17:12Z2018-12-11T17:17:12Z2018-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article521-523application/pdfhttp://dx.doi.org/10.1016/j.bjan.2017.09.008Brazilian Journal of Anesthesiology, v. 68, n. 5, p. 521-523, 2018.1806-907X0034-7094http://hdl.handle.net/11449/17571410.1016/j.bjan.2017.09.0082-s2.0-850399989992-s2.0-85039998999.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporBrazilian Journal of Anesthesiology0,320info:eu-repo/semantics/openAccess2023-11-25T06:13:43Zoai:repositorio.unesp.br:11449/175714Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-11-25T06:13:43Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report Sedação com dexmedetomidina e remifentanil em anestesia local para monitoração intraoperatória da fala: um relato de caso |
title |
Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
spellingShingle |
Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report Andrade, Leonardo Riedi de [UNESP] Dexmedetomidine Laryngoplasty Remifentanil |
title_short |
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_sort |
Sedation using dexmedetomidine and remifentanil with local anesthesia for intraoperative speech monitoring: a case report |
author |
Andrade, Leonardo Riedi de [UNESP] |
author_facet |
Andrade, Leonardo Riedi de [UNESP] Castiglia, Yara Marcondes Machado [UNESP] |
author_role |
author |
author2 |
Castiglia, Yara Marcondes Machado [UNESP] |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Centros de Ensino e Treinamento (CET) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Andrade, Leonardo Riedi de [UNESP] Castiglia, Yara Marcondes Machado [UNESP] |
dc.subject.por.fl_str_mv |
Dexmedetomidine Laryngoplasty Remifentanil |
topic |
Dexmedetomidine Laryngoplasty Remifentanil |
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. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11T17:17:12Z 2018-12-11T17:17:12Z 2018-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjan.2017.09.008 Brazilian Journal of Anesthesiology, v. 68, n. 5, p. 521-523, 2018. 1806-907X 0034-7094 http://hdl.handle.net/11449/175714 10.1016/j.bjan.2017.09.008 2-s2.0-85039998999 2-s2.0-85039998999.pdf |
url |
http://dx.doi.org/10.1016/j.bjan.2017.09.008 http://hdl.handle.net/11449/175714 |
identifier_str_mv |
Brazilian Journal of Anesthesiology, v. 68, n. 5, p. 521-523, 2018. 1806-907X 0034-7094 10.1016/j.bjan.2017.09.008 2-s2.0-85039998999 2-s2.0-85039998999.pdf |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Brazilian Journal of Anesthesiology 0,320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
521-523 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965062467682304 |