Use of Dexmedetomidine as an Adjuvant to Propofol along with Neurophysiological Monitoring of the Seventh Cranial Nerve during Cerebello- Pontine Tumour Excision Surgery
Cerebello‑Pontine Angle (CPA) surgeries are very challenging for neurosurgeons as it lies very close to brain stem so various cranial nerves are at risk of damage. Generally, such surgeries require neuromuscular monitoring of various cranial nerves. For that we have to discontinue neuromuscular bl...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14785/47467_CE[Ra1]_F(KM)_PF1(MG_OM)_PFA(KM)_PB(MG_KM)_PN(KM).pdf |
| Summary: | Cerebello‑Pontine Angle (CPA) surgeries are very challenging for neurosurgeons as it lies very close to brain stem so various cranial
nerves are at risk of damage. Generally, such surgeries require neuromuscular monitoring of various cranial nerves. For that we
have to discontinue neuromuscular blocking agents and inhalational agents. Total Intravenous Anaesthesia (TIVA) avoids the use of
neuromuscular blocking agents as well as inhalational agents. However, prolonged infusion of propofol is associated with risks, such as
hypotension, delayed awakening, and metabolic acidosis, known as “Propofol Infusion Syndrome”. Dexmedetomidine now-a-days is
used very commonly as an adjuvant to propofol and it significantly reduces the anaesthetic requirement. Addition of dexmedetomidine
provides haemodynamic stability during such neurosurgeries. Here, authors have described anaesthetic management of a 46-yearold female patient posted for CPA excision along with seventh cranial nerve monitoring using dexmedetomidine with propofol. |
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| ISSN: | 2249-782X 0973-709X |