Nakama Rakuhei, Arai Yasunori, Kobayashi Tatsushi
Department of Diagnostic Radiology, National Cancer Center Hospital East, Chiba, JPN.
Cureus. 2022 Apr 25;14(4):e24466. doi: 10.7759/cureus.24466. eCollection 2022 Apr.
An 83-year-old man underwent cervical esophagectomy and developed a chylothorax as a postoperative complication. We decided to perform lymphangiography and thoracic duct embolization for chylous leakage, but it was expected to be challenging to maintain bed rest. Therefore, dexmedetomidine was administered for procedural sedation. The patient's blood pressure and heart rate were mostly stable during the procedure, and the sedation level was maintained within the desired limits. Due to its specific sedative pattern and mild analgesic effect, Dexmedetomidine is suitable for procedural sedation in various painless interventional radiology procedures, such as lymphangiography and thoracic duct embolization. Therefore, it may be the best sedative for the elderly and should be widely and effectively used in interventional radiology.
一名83岁男性接受了颈部食管切除术,并出现乳糜胸这一术后并发症。我们决定对乳糜漏进行淋巴管造影和胸导管栓塞术,但预计维持卧床休息具有挑战性。因此,给予右美托咪定用于操作过程中的镇静。在操作过程中,患者的血压和心率大多稳定,镇静水平维持在期望范围内。由于其特定的镇静模式和轻度镇痛作用,右美托咪定适用于各种无痛介入放射学操作(如淋巴管造影和胸导管栓塞术)中的操作镇静。因此,它可能是老年人最佳的镇静剂,应在介入放射学中广泛且有效地使用。