Monitored Anesthesia Care Primarily Using Dexmedetomidine Provides Safe Sedation and Analgesic Effect in Uterine Artery Embolization: A Case Report

Moon Ok Lee, Ji Hoon Lee, Chae Eun Kim, Jeong Yeon Kim
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Abstract

Monitored anesthesia care (MAC) has been used as a specific anesthesia service for diagnostic or therapeutic procedures performed under local anesthesia along with sedation and analgesia. Procedures such as trans arterial chemoembolization (TACE) or uterine artery embolization (UAE) performed in interventional radiology are typically accompanied by post-embolization syndrome (PES). While in TACE for hepatocellular carcinoma treatment, the severity of PES tends to be milder due to the liver’s dual blood supply, the degree is notably more severe in the case of UAE. Furthermore, the symptoms of PES after UAE procedure tend to follow a typical pattern. Most UAE patients do not develop pain until after the procedure has concluded. It is during the recovery period that patients frequently need significant doses of narcotics and analgesics to alleviate the pain. This report elucidates the application of MAC using dexmedetomidine in UAE, aimed to maintain adequate sedation during procedure and reduce severe pain after procedure.
在子宫动脉栓塞术中主要使用右美托咪定的监测麻醉护理可提供安全的镇静和镇痛效果:病例报告
监测麻醉护理(MAC)已被用作一种特定的麻醉服务,用于在局部麻醉以及镇静和镇痛下进行的诊断或治疗程序。介入放射学中进行的经动脉化疗栓塞术(TACE)或子宫动脉栓塞术(UAE)等手术通常会伴有栓塞后综合征(PES)。在治疗肝细胞癌的 TACE 中,由于肝脏具有双重血液供应,PES 的严重程度往往较轻,但在 UAE 中,PES 的程度明显更严重。此外,UAE 手术后的 PES 症状往往遵循一种典型的模式。大多数 UAE 患者直到手术结束后才会出现疼痛。在恢复期间,患者经常需要使用大剂量的麻醉剂和镇痛剂来缓解疼痛。本报告阐明了使用右美托咪定的 MAC 在 UAE 中的应用,目的是在手术过程中保持足够的镇静,并减轻术后的剧烈疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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