[Dexmedetomidine for sedation during voice monitoring surgery in a patient with an episode of seizure].
We present a rare case of 26-year-old male patient without a history of epilepsy, who underwent a voice monitoring surgery under local anesthesia plus sedation using modified neuroleptanalgesia. As he developed generalized tonic-clonic seizure probably due to pentazocine, the operation was cancelled. Later, the same surgery was rescheduled. After a premedication with intramuscular phenobarbital, the patient was sedated with dexmedetomidine and locally anesthetized, showing sedation of high quality with no respiratory depression and no seizure. Dexmedetomidine was used succesfully for voice monitoring surgery.
Okamoto
Takanori
T
Department of Anesthesiology, Japan Self-Defense Forces Central Hospital, Tokyo 154-8532.
Ishifuji
Seiji
S
Taoda
Masahiko
M
Kai
Tomoaki
T
Morita
Ichiro
I
D000328:Adult; D000772:Anesthesia, Local; D020927:Dexmedetomidine; D006801:Humans; D006993:Hypnotics and Sedatives; D008297:Male; D009294:Narcotics / Q000009:adverse effects; D009458:Neuroleptanalgesia; D010423:Pentazocine / Q000009:adverse effects; D012640:Seizures / Q000139:chemically induced*; D014831:Voice
D006993:Hypnotics and Sedatives; D009294:Narcotics; D020927:Dexmedetomidine; D010423:Pentazocine