Sedation With Dexmedetomidine During Lymphangiography and Thoracic Duct Embolization in an Elderly Man

An 83-year-old man underwent cervical esophagectomy and developed a chylothorax as a postoperative complication. We decided to perform lymphangiography and thoracic duct embolization for chylous leakage, but it was expected to be challenging to maintain bed rest. Therefore, dexmedetomidine was admin...

Full description

Saved in:
Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 14; no. 4; p. e24466
Main Authors Nakama, Rakuhei, Arai, Yasunori, Kobayashi, Tatsushi
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 25.04.2022
Cureus
Subjects
Adrenergic receptors
Analgesics
Blood pressure
Case reports
Critical care
Embolization
Eye contact
General anesthesia
Heart rate
Medical imaging
Mens health
Older people
Ostomy
Patients
Radiology
dexmedetomidine
lymphangiography
interventional radiology
procedural sedation
elderly
thoracic duct embolization
Online AccessGet full text

Cover

More Information
Summary:An 83-year-old man underwent cervical esophagectomy and developed a chylothorax as a postoperative complication. We decided to perform lymphangiography and thoracic duct embolization for chylous leakage, but it was expected to be challenging to maintain bed rest. Therefore, dexmedetomidine was administered for procedural sedation. The patient's blood pressure and heart rate were mostly stable during the procedure, and the sedation level was maintained within the desired limits. Due to its specific sedative pattern and mild analgesic effect, Dexmedetomidine is suitable for procedural sedation in various painless interventional radiology procedures, such as lymphangiography and thoracic duct embolization. Therefore, it may be the best sedative for the elderly and should be widely and effectively used in interventional radiology.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.24466