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Ann Geriatr Med Res > Volume 16(1); 2012 > Article
Journal of the Korean Geriatrics Society 2012;16(1):39-42.
DOI: https://doi.org/10.4235/jkgs.2012.16.1.39    Published online March 31, 2012.
Dexmedetomidine Sedation in an Old Patient for Revision Total Hip Arthroplasty
Seung Hwan Hong, Gunn Hee Kim, Ho Young Kil, Mi Rum Kim
Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea. gunnhee@gmail.com
부위마취 하에 대량 수혈이 필요한 고관절 수술을 받는 노인 환자에서 Dexmedetomidine의 진정 효과
홍승환 · 김건희 · 길호영 · 김미름
국립중앙의료원 마취통증의학과
Abstract
A revision total hip arthroplasty (THA) that anticipated massive bleeding and the need for blood transfusion was scheduled. The patient was a 73-year-old man who had well controlled hypertension. A combined spinal and epidural anesthesia was performed. Dexmedetomidine was administered from the beginning of the arterial and central line catheterization, until the end of the operation. During the 10 hours and 30 minutes surgery, the estimated blood loss was about 7,000 mL, with a total infused red blood cell amount of 14 units, total fresh frozen plasma of 6 units, a total crystalloid of 6,850 mL and of colloid 1,500 mL. The Ramsay sedation score was maintained within 3 and the hemodynamic condition was stable. We found that dexmedetomidine can be safely used for sedation, even during an operation requiring massive transfusions and a prolonged operation time.
Key Words: Dexmedetomidine, Sedation, Spinal Anesthesia, Total hip replacement
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