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Case Reports
Dexmedetomidine for Preventing Sleep Disturbance after Ambulatory Anesthesia: A Case Report.
- Jacqueline Quinn and James C Krakowski.
- From the Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
- A A Pract. 2024 Apr 1; 18 (4): e01776e01776.
AbstractPropofol anesthesia may impact a patient's sleep quality in the immediate postprocedure timeframe. We describe a 24-year-old man presenting for gastrostomy-jejunostomy tube replacement who reported debilitating sleep-onset disturbances after 3 previous anesthetic exposures for the same procedure. Review of the patient's records revealed the recurring use of propofol infusion. We proposed using dexmedetomidine infusion to potentially avoid another extended sleep disturbance. Following a dexmedetomidine-centered plan, the patient reported experiencing his usual sleep pattern without side-effects for 5 consecutive days postprocedure. This case highlights the potential for propofol-induced sleep disturbance in the ambulatory setting, which may be avoided with dexmedetomidine administration.Copyright © 2024 International Anesthesia Research Society.
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