Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy
Percutaneous endoscopic laser discectomy (PELD) is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem f...
Saved in:
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2016-01-01
|
Series: | Case Reports in Anesthesiology |
Online Access: | http://dx.doi.org/10.1155/2016/3931567 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832566911525715968 |
---|---|
author | Menekse Oksar Tulin Gumus Orhan Kanbak |
author_facet | Menekse Oksar Tulin Gumus Orhan Kanbak |
author_sort | Menekse Oksar |
collection | DOAJ |
description | Percutaneous endoscopic laser discectomy (PELD) is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem for endotracheal intubation, while patients placed in the prone position during percutaneous endoscopic discectomy pose a problem for airway management. Therefore, under these conditions, sedation should be not deeper than required. Here we report the sedation management of three cases that underwent PELD, with a focus on deep and safe sedation that was monitored using bispectral index score and observer’s assessment of alertness/sedation score. |
format | Article |
id | doaj-art-a4c0ecd1384a46f3a51a1cc3746636fb |
institution | Kabale University |
issn | 2090-6382 2090-6390 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Anesthesiology |
spelling | doaj-art-a4c0ecd1384a46f3a51a1cc3746636fb2025-02-03T01:02:48ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/39315673931567Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar DiscectomyMenekse Oksar0Tulin Gumus1Orhan Kanbak2Anesthesiology and Reanimation Department, Mustafa Kemal University Medical School, 31100 Hatay, TurkeyAnesthesiology and Reanimation Department, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyAnesthesiology and Reanimation Department, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyPercutaneous endoscopic laser discectomy (PELD) is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem for endotracheal intubation, while patients placed in the prone position during percutaneous endoscopic discectomy pose a problem for airway management. Therefore, under these conditions, sedation should be not deeper than required. Here we report the sedation management of three cases that underwent PELD, with a focus on deep and safe sedation that was monitored using bispectral index score and observer’s assessment of alertness/sedation score.http://dx.doi.org/10.1155/2016/3931567 |
spellingShingle | Menekse Oksar Tulin Gumus Orhan Kanbak Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy Case Reports in Anesthesiology |
title | Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy |
title_full | Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy |
title_fullStr | Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy |
title_full_unstemmed | Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy |
title_short | Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy |
title_sort | sedation monitoring and management during percutaneous endoscopic lumbar discectomy |
url | http://dx.doi.org/10.1155/2016/3931567 |
work_keys_str_mv | AT menekseoksar sedationmonitoringandmanagementduringpercutaneousendoscopiclumbardiscectomy AT tulingumus sedationmonitoringandmanagementduringpercutaneousendoscopiclumbardiscectomy AT orhankanbak sedationmonitoringandmanagementduringpercutaneousendoscopiclumbardiscectomy |