Total Intravenous Anaesthesia with Propofol and Dexmedetomidine for Brachial Plexus Repair with Intraoperative Neuromuscular Monitoring: A Case Series

Autor: Amartya Chaudhuri, Shital mahendra Kuttarmare, Pradnya Milind Bhalerao, Neha Kamble
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Archives of Anesthesia and Critical Care, Vol 9, Iss 2 (2023)
Druh dokumentu: article
ISSN: 2423-5849
DOI: 10.18502/aacc.v9i2.12505
Popis: Background: Brachial plexus surgery requires neural repair with the use of intraoperative peripheral nerve stimulation without muscle relaxants. Methods: Twelve cases were conducted under total intravenous anaesthesia, receiving intravenous propofol, fentanyl and dexmedetomidine infusion. Intraoperative hemodynamic conditions and postoperative functional recovery were assessed. Results: 9 out of 12 cases were stable while one was in a lighter plane requiring 20 mg propofol and increased dexmedetomidine, two had bradycardia requiring reduced dexmedetomidine infusion. At three months, five cases showed improvement. Conclusion: Satisfactory conditions were achieved including hemodynamic stability, and muscle-sparing improving prognoses of brachial plexus surgeries.
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