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右美托咪定作为脊髓麻醉阻滞的辅助用药:三例婴儿的病例报告

Dexmedetomidine as a Supplement to Spinal Anesthesia Block: A Case Report of Three Infants.

作者信息

Chiao Franklin, Boretsky Karen

机构信息

From the *Department of Anesthesiology, New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York; and †Department of Anesthesiology, Pain, Critical Care, Boston Children's Hospital-Harvard Medical School, Boston, Massachusetts.

出版信息

A A Case Rep. 2017 Aug 15;9(4):127-128. doi: 10.1213/XAA.0000000000000545.

DOI:10.1213/XAA.0000000000000545
PMID:28459726
Abstract

We report a novel use for dexmedetomidine as a supplemental intravenous or intranasal sedative for spinal anesthesia in infants. The children were 1, 2, and 9 months old having either inguinal hernia repair or circumcision. None of them experienced clinically relevant hemodynamic changes or apnea. Pain scores were zero throughout the postoperative period.

摘要

我们报告了右美托咪定的一种新用途,即作为婴儿脊髓麻醉的补充静脉或鼻内镇静剂。这些儿童年龄分别为1个月、2个月和9个月,接受腹股沟疝修补术或包皮环切术。他们均未出现临床相关的血流动力学变化或呼吸暂停。术后整个期间疼痛评分均为零。

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Dexmedetomidine as a Supplement to Spinal Anesthesia Block: A Case Report of Three Infants.右美托咪定作为脊髓麻醉阻滞的辅助用药:三例婴儿的病例报告
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Even low doses of dexmedetomidine produced obstructive apnea during spinal anesthesia.即使是低剂量的右美托咪定在脊髓麻醉期间也会导致阻塞性呼吸暂停。
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引用本文的文献

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Subarachnoid and epidural dexmedetomidine for the prevention of post-anesthetic shivering: a meta-analysis and systematic review.蛛网膜下腔和硬膜外给予右美托咪定预防麻醉后寒战:一项荟萃分析和系统评价
Drug Des Devel Ther. 2019 Nov 1;13:3785-3798. doi: 10.2147/DDDT.S204411. eCollection 2019.