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首页> 外文期刊>Case Reports in Anesthesiology >Successful Anesthetic Management Using Dexmedetomidine Sequentially with Propofol in the Asleep-Awake-Asleep Technique for Elderly Patients Undergoing Awake Craniotomy
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Successful Anesthetic Management Using Dexmedetomidine Sequentially with Propofol in the Asleep-Awake-Asleep Technique for Elderly Patients Undergoing Awake Craniotomy

机译：在睡眠中依次与异丙酚依次使用Dexmedetomidine的成功麻醉剂管理 - 令人醒来的令人醒来的令人醒来的令人醒来的令人醒来

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Anesthesiologists should supply proper sedation and high-quality awakening in awake craniotomy anesthesia. At our institution, we perform an asleep-awake-asleep technique for awake craniotomy anesthesia by using short-acting anesthetic drugs, such as propofol and remifentanil. However, elderly patients do not wake adequately in our normal protocol and hence are unable to complete the required neurological tasks. In this case series, we present the anesthetic management of three elderly patients with sequent use of propofol and dexmedetomidine as sedative agents for awake craniotomy. We hypothesized that this anesthetic protocol is advantageous in awake craniotomy management. For the awake phase, all patients were adequately awake and performed neurological tasks without adverse events and agitation. The use of dexmedetomidine sequentially with propofol in an asleep-awake-asleep technique for awake craniotomy in elderly patients might shorten the time to awakening and provide clear awakening.
机译：麻醉师应该在唤醒Craniotomy麻醉中提供适当的镇静和高质量觉醒。在我们的机构，我们通过使用短作用麻醉药物，如异丙酚和雷芬丹尼，我们对清醒的Craniotomy麻醉进行睡着的睡眠睡眠技术。然而，老年患者在我们的正常方案中没有充分唤醒，因此无法完成所需的神经系统任务。在本案例中，我们展示了三名老年患者的麻醉剂管理，该患者的脱脂剂和德克梅莫胆碱作为沉积物的沉淀剂，用于唤醒Craniotomy。我们假设这种麻醉方案在清醒的Craniotomy管理中是有利的。对于清醒阶段，所有患者均充分清醒，并进行神经系统任务，而无恶劣的事件和搅动。在老年患者中依次用异丙酚依次用异丙酚的使用可能缩短唤醒和提供清晰觉醒的时间。

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