Epidural anesthesia with intravenous dexmedetomidine sedation in the successful anesthetic management of MRI-guided focused ultrasound ablation of early prostatic cancer.

Abstract:

:We report on five patients who underwent MRI-guided focused ultrasound ablation of prostatic cancer under epidural anesthesia with intravenous dexmedetomidine sedation. This pioneering procedure requires an immobile therapeutic field with adequate sedation and analgesia provided to the patients. Duration of the procedure is longer compared to diagnostic MRI scans. In combination with epidural anesthesia, dexmedetomidine was used to provide moderate levels of sedation without causing respiratory depression or hemodynamic instability, and was useful in preventing shivering. The pharmacological properties of dexmedetomidine contribute to make this technique safe and effective.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Ng AT,Ip-Yam PC

doi

10.1007/s00540-011-1189-1

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

756-9

issue

5

eissn

0913-8668

issn

1438-8359

journal_volume

25

pub_type

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