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[Continuous total intravenous anesthesia is recommended for wake-up test]
M Onaka1, H Yamamoto, M Akatsuka
1Department of Anesthesiology, Osaka Medical College, Takatsuki.
Masui. the Japanese Journal of Anesthesiology
|September 11, 1999
Summary
Continuous total intravenous anesthesia (TIVA) using propofol, ketamine, vecuronium, and buprenorphine (PKBp) allows for rapid emergence. This anesthetic method is ideal for procedures requiring a wake-up test, such as spinal surgery.
Area of Science:
- Anesthesiology
- Pharmacology
Background:
- Total intravenous anesthesia (TIVA) is recommended to minimize operating room air pollution.
- Intermittent anesthetic administration often leads to delayed patient emergence.
- Rapid emergence is crucial for procedures like intraoperative wake-up tests.
Observation:
- A continuous TIVA regimen using propofol, ketamine, vecuronium, and buprenorphine (PKBp) was administered.
- An 8-year-old female with spinal scoliosis underwent spinal instrumentation.
- The patient underwent two successful wake-up tests during surgery after anesthetic infusion cessation.
Findings:
- Continuous PKBp TIVA facilitated rapid emergence from anesthesia.
- The wake-up tests were performed smoothly without complications.
- The anesthetic cocktail enabled timely patient awakening.
Implications:
- Continuous TIVA with PKBp is a viable and effective anesthetic strategy for surgeries requiring wake-up tests.
- This method offers an advantage over intermittent TIVA by reducing emergence time.
- Further research into continuous TIVA cocktails for specific surgical needs is warranted.