Use of Dexmedetomidine During an Emergent Exploratory Laparotomy in a High-Risk Cardiac Patient With an Intra-aortic Balloon Pump
نویسندگان
چکیده
An intra-aortic balloon pump (IABP) may be placed preoperatively for high-risk patients with reduced ejection fraction or multivessel coronary disease undergoing non-cardiac surgery. Dexmedetomidine (DEX) has both anesthetic and cardioprotective effects, little evidence is present on its effect minimum alveolar concentration (MAC) bispectral index (BIS). We the case of a cardiac patient who was admitted required fluid optimization prior to artery bypass grafting (CABG). IABP after failure tolerate intermittent hemodialysis (iHD). Bowel ischemia complicated this patient's course, necessitating an urgent exploratory laparotomy in place. DEX 0.3-MAC sevoflurane were successfully used without perioperative complications. Continuous BIS monitoring performed maintain adequate level anesthesia. should considered as alternative adjuvant medically complex patients.
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ژورنال
عنوان ژورنال: Cureus
سال: 2023
ISSN: ['2168-8184']
DOI: https://doi.org/10.7759/cureus.40795