Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy

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...

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Main Authors: Menekse Oksar, Tulin Gumus, Orhan Kanbak
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2016/3931567
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spelling doaj-a4c0ecd1384a46f3a51a1cc3746636fb2020-11-24T22:20:44ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Menekse Oksar
Tulin Gumus
Orhan Kanbak
spellingShingle Menekse Oksar
Tulin Gumus
Orhan Kanbak
Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy
Case Reports in Anesthesiology
author_facet Menekse Oksar
Tulin Gumus
Orhan Kanbak
author_sort Menekse Oksar
title Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy
title_short 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_sort sedation monitoring and management during percutaneous endoscopic lumbar discectomy
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2016-01-01
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.
url http://dx.doi.org/10.1155/2016/3931567
work_keys_str_mv AT menekseoksar sedationmonitoringandmanagementduringpercutaneousendoscopiclumbardiscectomy
AT tulingumus sedationmonitoringandmanagementduringpercutaneousendoscopiclumbardiscectomy
AT orhankanbak sedationmonitoringandmanagementduringpercutaneousendoscopiclumbardiscectomy
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