Manajemen Anestesi pada Percutaneus Endoscopic Lumbar Discectomy (PELD) dengan Dexmedetomidine

  • Djayanti Sari Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Calcarina Fitriani Retno Wisudarti Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • David Ferdiansyah Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
DOI: https://doi.org/10.22146/jka.v10i1.8323
Keywords: Dexmedetomidine, HNP, peld, Ramsay Scale ScorE, TIVA

Abstract

The patient is 49 years old with a diagnosis of Hernia Nucleosus Pulposus (HNP) 4-5 lumbar vertebrae. The patient was scheduled to undergo the PELD procedure. The anesthetic technique used is total intravenous anesthesia (TIVA) with dexmedetomidine. The dose used is loading 1 mcg per kg body weight in 10 minutes followed by titration of 0.2-0.7 mcg/kg body weight/hour. During the procedure the operator requires confirmation from the patient to prevent complications of nerve injury. The action lasts about 2 hours in the prone position. The level of sedation was assessed by the Ramsay scale score. Hemodynamics during the procedure is stable and the patient is quite comfortable.

Published
2023-05-28
How to Cite
Sari, D., Wisudarti, C. F. R., & Ferdiansyah, D. (2023). Manajemen Anestesi pada Percutaneus Endoscopic Lumbar Discectomy (PELD) dengan Dexmedetomidine. Jurnal Komplikasi Anestesi, 10(1), 10-15. https://doi.org/10.22146/jka.v10i1.8323
Issue
Vol 10 No 1 (2022): Volume 10 Number 1 (2022)
Section
Articles

Copyright (c) 2022 Djayanti Sari, Calcarina Fitriani Retno Wisudarti, David Ferdiansyah

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