2 research outputs found
The sitting position during neurosurgical procedures does not influence serum biomarkers of pulmonary parenchymal injury
Safety and efficiency in use of dexmedetomidine during stereotactic biops
INTRODUCTION Dexmedetomidine (DEX) is an agonist of the alfa-2 adrenergic receptor. It possesses unique sedative properties without depression of the cardiovascular or respiratory system. The aim of this work was to evaluate the efficiency and safety of using dex in stereotactic biopsy. MATERIALS AND METHODS 24 patients qualified for stereotactic biopsy were divided into 2 groups: DEX (n = 12) and KON (n = 12). In DEX, 0.5 渭g/kg/h dex has been used. In KON there was no sedation used. Intraoperative changes in the systolic blood pressure (SBP) and heart rate (HR) values were compared in both groups. The sedation level was estimated on the OAA/S scale. RESULTS In DEX, the intraoperative SBP value was significantly lower than in the KON group. No hypertension incidence in DEX was observed. Dex provided patient comfort. CONCLUSION Sedation with the usage of dex increases the comfort and safety of patients during stereotactic biopsy.Wst臋p Dexmedetomidyna (DEX) jest agonist膮 receptora adrenergicznego alfa2. Ma unikalne w艂a艣ciwo艣ci sedacyjne bez depresji uk艂adu kr膮偶enia i oddechowego. Celem pracy by艂a ocena skuteczno艣ci i bezpiecze艅stwa u偶ycia DEX w zabiegach biopsji stereotaktycznej. MATERIA艁 I METODY Grup臋 24 pacjent贸w zakwalifikowanych do biopsji stereotaktycznej podzielono na grupy: badan膮 (DEX; n = 12) i kontroln膮 (KON; n = 12). W grupie badanej podawano wlew DEX 0,5 碌g/kg/h, w kontrolnej nie stosowano sedacji. W obu grupach por贸wnano 艣r贸doperacyjne zmiany warto艣ci skurczowego ci艣nienia krwi (systolic blood pressure - SBP) i cz臋sto艣ci akcji serca (heart rate - HR). Oceniono stopie艅 sedacji w skali OAA/S. WYNIKI W grupie DEX obserwowano 艣r贸doperacyjnie istotnie ni偶sze warto艣ci SBP, bez incydent贸w hipertensji. Stopie艅 sedacji pacjent贸w by艂 wy偶szy w grupie DEX. WNIOSKI Sedacja z u偶yciem DEX poprawia komfort i bezpiecze艅stwo pacjent贸w w czasie biopsji stereotaktycznej