The use of dexmedetomidine in puncture techniques for degenerative diseases of the lumbar spine

Uso de dexmedetomidina em técnicas de punção para doenças degenerativas da coluna lombar
Uso de dexmedetomidina en técnicas de punción para enfermedades degenerativas de la columna lumbar
Byvaltsev V.A. GoloborodKo V.Y. Kalinin A.A. Biryuchkov M.Y.
2021 Oficial da Sociedade Brasileira de Coluna

Coluna/ Columna
2021 #20 Issue 3 186 - 188 pp.

Objective: To analyze the results of the use of dexmedetomidine (D) in the treatment of patients with degenerative diseases of the lumbar spine using puncture techniques. Methods: The study included 77 patients who underwent surgical puncture for degenerative diseases of the lumbar spine with the use of alpha-2-adrenomimetic D: percutaneous laser denervation of the facet joints (n = 46) and posterolateral transforaminal endoscopic discectomy (n = 31). We assessed: the level of sedation using the Ramsay Sedation Scale (RSS) and the Richmond Agitation Sedation Scale (RASS); intraoperative dynamics of the cardiovascular and respiratory system parameters; the level of pain syndrome according to VAS. Results: A high intraoperative level of sedation was determined, with RASS -2, -3 and Ramsay III, IV; when transferring a patient to a department (in 90 minutes) this parameter was RASS 0 and Ramsay II. There were no significant changes in central hemodynamics and respiratory depression. The minimum level of pain was determined immediately after surgery, at 30 and 60 minutes after surgery, and before transfer to the department (90 minutes): 6 (4;9); 10 (8;12); 12 (9;13); 16 (13;19) respectively. The absence of the need for additional analgesia on the first postoperative day was verified. Conclusion: The use of D significantly reduces the level of pain, while maintaining the necessary verbal contact with the patient, and provides the necessary neurovegetative protection without respiratory depression or lowered hemodynamic parameters during the perioperative period.

Alpha-2-adrenomimetics , Dexmedetomidine , Fast-Track surgery , Hemodynamic stabilization , Laser denervation of the facet joint , Lumbar spine , Posterolateral transforaminal endoscopic discectomy

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Railway Clinical Hospital, Irkutsk, Russian Federation
Irkutsk State Medical University, Irkutsk, Russian Federation
Irkutsk State Medical Academy of Postgraduate Education, Irkutsk, Russian Federation
West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

Railway Clinical Hospital
Irkutsk State Medical University
Irkutsk State Medical Academy of Postgraduate Education
West Kazakhstan Marat Ospanov Medical University

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