Dexmedetomidine sedation combined with epidural anesthesia for laparoscopy in a patient with suspected tuberculosis: A case report

Medicine
Yanming KangLan Wu

Abstract

We herein present a case in which satisfactory analgesia and sedation were provided by the combination of epidural anesthesia with dexmedetomidine for exploratory laparoscopy in a patient who was highly suspected to have tuberculosis. This is an optimal anesthesia method to minimize the risk of nosocomial infection, especially in developing countries that lack sterilizers for anesthesia machines. A 45-year-old woman suspected to have active tuberculosis was scheduled to undergo laparoscopy for definitive diagnosis of a pelvic mass. Tuberculosis was diagnosed by exploratory laparoscopy. The surgery was performed under general anesthesia to prevent pain and discomfort during the procedure. However, ventilation machine used by patients with tuberculosis may have a potential risk of nosocomial infection and need disinfection by a special sterilizer machine even when using a bacterial/viral filter-heat and moisture exchanger. Therefore, the surgery was performed under continuous epidural anesthesia combined with dexmedetomidine. The surgery was successfully completed, and pelvic tubercles were confirmed to be caseous necrotic tissue by pathologic examination. The patient began regular antituberculosis treatment after discharging fro...Continue Reading

References

Nov 27, 2010·Journal of Anesthesia·Takayuki KunisawaHiroshi Iwasaki
May 11, 2011·Bulletin of the World Health Organization·Blanca I RestrepoSusan P Fisher-Hoch
Nov 15, 2014·Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia·Payam TabarsiAli Akbar Velayati
Feb 12, 2017·Korean journal of anesthesiology·Mee Young ChungChang Jae Kim

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Methods Mentioned

BETA
biopsy
sedation

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