ROLE OF DEXMEDETOMIDINE IN

DEVICE CLOSURE
ANISH ADYA

Name D.Nayak
Rank AC
Age 22 years
Unit 714 SU ( AIR FORCE)

PRESENTING COMPLAINT
Apparently asymptomatic.
Incidentally detected during annual medical
examination as an ECG abnormality.
No h/o chest pain
No h/o breathlessness on exertion
No h/o palpitations

 No other complaints
Bowel , bladder habits unchanged.

Past history
No h/o DM , HTN, Tuberculosis.
Personal history
No history of smoking , alcohol consumption

GEN EXAMINATION
Avg built and nourishment
Afebrile
Pulse 68/min regular , normal volume , b/l
symmetrical all peripheral pulses palpable
Blood pressure 118/70 mm of Hg
No pallor, icterus, cyanosis, lymphadenopathy
clubbing

Systemic examination
CVS S1, S2 were normal
No adventitious sounds
No murmur
Chest Lungs b/l clear
Abdomen - NAD
CNS - NAD

INVESTIGATIONS

Hb 14.2
TLC - 7000
DLC P56 L39 M2 E3
Urine RE , ME- NAD
S .Urea 27
S. Creatinine 0.7

ECG
Incomplete RBBB

RSR V1

TEE

PLAN
Device closure under Anaesthesia (MAC)

ANAESTHESIA MANAGEMENT

i.v. line secured with 18 G canula

Oxygen inhalation at 4l /min
Premedication Inj Glycopyrrolate 0.2 mg
Induction
Inj Dexmedetomidine 60 micro grams bolus
Inj Propofol
60 mg (1 mg /kg)

 Maintenance
Inj Dexmedetomidine 30 micro grams infusion
Breathing - spontaneous

Intraoperativey
Pulse 78 to 110 bpm
B.P. 120 -130 Systolic
70 80 Diastolic
Spo2 100 %

Post procedure

Vitals stable
Pulse 74/min , regular
Blood pressure-110/72 mm of Hg
Breathing spontaneous
Recovery time 20 min.

THANK YOU