Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 43060

Case report
Year : 2017 | Month : October | Volume : 11 | Issue : 10 | Page : UD01 - UD03

Anaesthetic Considerations in Patients of Takayasu Arteritis and Blunting of Stress Response to Intubation by Dexmedetomidine Infusion “A Report of two Cases”

Deepak Dwivedi, Kiran Sheshadri, Abhijit Karmarkar, Arijit Ray, Swayam Tara

1. Assistant Professor, Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, India. 2. Associate Professor, Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, India. 3. Associate Professor, Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, India. 4. Trainee Anaesthesia, Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, India. 5. Trainee Anaesthesia, Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, India.

Correspondence Address :
Dr. Deepak Dwivedi,
Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini,
Colaba, Mumbai-400005, Maharashtra, India.
E-mail: deepakdwivedi739@gmail.com

Abstract

Takayasu arteritis is an entity resulting in pan-endarteritis. It involves the principal arteries resulting in ischaemia and persistent hypertension. Hypertension affects the anaesthetic management where the principal goal is to control the haemodynamic stability during the induction and for the entire course of anaesthesia preventing damage to the end organs. We present two cases, one paediatric with hypertension refractory to medical management posted for nephrectomy and one adult patient posted for diagnostic hysterolaparoscopy. Both the cases were administered dexmedetomidine, an alpha 2 agonist during the pre-induction period. Sympatholysis caused by infusion dexmedetomidine was effectively utilized in both the cases hence, pre-induction infusion of dexmedetomidine can be utilized to obtund the haemodynamic response to intubation.

Keywords

Adrenergic alpha 2 agonist, Hypertension, Nephrectomy, Paediatric, Vasculitis

How to cite this article :

Deepak Dwivedi, Kiran Sheshadri, Abhijit Karmarkar, Arijit Ray, Swayam Tara. ANAESTHETIC CONSIDERATIONS IN PATIENTS OF TAKAYASU ARTERITIS AND BLUNTING OF STRESS RESPONSE TO INTUBATION BY DEXMEDETOMIDINE INFUSION “A REPORT OF TWO CASES”. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 23 ]; 11:UD01-UD03. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=October&volume=11&issue=10&page=UD01-UD03&id=10723

DOI and Others

DOI: 10.7860/JCDR/2017/29079.10723

Date of Submission: Apr 05, 2017
Date of Peer Review: May 19, 2017
Date of Acceptance: Aug 11, 2017
Date of Publishing: Oct 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com