Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations

Background. The aim of the study is to evaluate the quality and safety of the sedative effect of anesthesia in ambulant ophthalmic surgery by using continuous intravenous infusion of Dexmedetomidine. Materials and Methods. Patients were randomized into groups by age (people from 65 to 75 years ol...

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Autor principal:	Maxim Khodakovsky
Formato:	article
Lenguaje:	EN RU UK
Publicado:	Interdisciplinary Academy of Pain Medicine 2021
Materias:	analgosedation Dexmedetomidine autonomic nervous system Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/b5c7b34902d4461eba4ab2c6bcf2a20c
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spelling	oai:doaj.org-article:b5c7b34902d4461eba4ab2c6bcf2a20c2021-11-15T14:30:58ZExperience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations10.31636/pmjua.v6i3.52414-38122519-2752https://doaj.org/article/b5c7b34902d4461eba4ab2c6bcf2a20c2021-11-01T00:00:00Zhttps://painmedicine.org.ua/index.php/pnmdcn/article/view/270https://doaj.org/toc/2414-3812https://doaj.org/toc/2519-2752 Background. The aim of the study is to evaluate the quality and safety of the sedative effect of anesthesia in ambulant ophthalmic surgery by using continuous intravenous infusion of Dexmedetomidine. Materials and Methods. Patients were randomized into groups by age (people from 65 to 75 years old, old age 76 years, middle age, young people, children), by gender (men, women). The physical status of patients was assessed using the ASA scale and the dynamics of vegetatic activity by the Kerdo index. Sedation was assessed using the Richmond Sedation Scale RASS. Results. It was found that the difference in the frequency of adverse effects of the appointment of Dexmedetomidine clearly confirms the need to adjust the dose of Dexmedetomidine, depending on the state of the autonomic nervous system. The use of Dexmedetomidine according to the recommendations made it possible to achieve a safe level of sedation and eliminate side effects in ambulant ophthalmic surgery. Conclusions: Parenteral continuous infusion of Dexmedetomidine provides an effective level of sedation for ambulant ophthalmic surgery and maintaining patientsurgeon contact. Safety is confirmed by a low level of critical incidents, no respiratory depression at the target sedation level. The patency of the upper airways was better compared to previous experience with propofol. Maxim Khodakovsky Interdisciplinary Academy of Pain MedicinearticleanalgosedationDexmedetomidineautonomic nervous systemAnesthesiologyRD78.3-87.3ENRUUKМедицина болю, Vol 6, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU UK
topic	analgosedation Dexmedetomidine autonomic nervous system Anesthesiology RD78.3-87.3
spellingShingle	analgosedation Dexmedetomidine autonomic nervous system Anesthesiology RD78.3-87.3 Maxim Khodakovsky Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
description	Background. The aim of the study is to evaluate the quality and safety of the sedative effect of anesthesia in ambulant ophthalmic surgery by using continuous intravenous infusion of Dexmedetomidine. Materials and Methods. Patients were randomized into groups by age (people from 65 to 75 years old, old age 76 years, middle age, young people, children), by gender (men, women). The physical status of patients was assessed using the ASA scale and the dynamics of vegetatic activity by the Kerdo index. Sedation was assessed using the Richmond Sedation Scale RASS. Results. It was found that the difference in the frequency of adverse effects of the appointment of Dexmedetomidine clearly confirms the need to adjust the dose of Dexmedetomidine, depending on the state of the autonomic nervous system. The use of Dexmedetomidine according to the recommendations made it possible to achieve a safe level of sedation and eliminate side effects in ambulant ophthalmic surgery. Conclusions: Parenteral continuous infusion of Dexmedetomidine provides an effective level of sedation for ambulant ophthalmic surgery and maintaining patientsurgeon contact. Safety is confirmed by a low level of critical incidents, no respiratory depression at the target sedation level. The patency of the upper airways was better compared to previous experience with propofol.
format	article
author	Maxim Khodakovsky
author_facet	Maxim Khodakovsky
author_sort	Maxim Khodakovsky
title	Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
title_short	Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
title_full	Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
title_fullStr	Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
title_full_unstemmed	Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
title_sort	experience of dexmedetomidine using for intraoperative analgosedation during ophthalmic operations
publisher	Interdisciplinary Academy of Pain Medicine
publishDate	2021
url	https://doaj.org/article/b5c7b34902d4461eba4ab2c6bcf2a20c
work_keys_str_mv	AT maximkhodakovsky experienceofdexmedetomidineusingforintraoperativeanalgosedationduringophthalmicoperations
_version_	1718428398304362496

Experience of Dexmedetomidine using for intraoperative analgosedation during ophthalmic operations

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