caa a22 4500 445374373 CHVBK 20180317142958.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00540-011-1189-1 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1189-1 Epidural anesthesia with intravenous dexmedetomidine sedation in the successful anesthetic management of MRI-guided focused ultrasound ablation of early prostatic cancer [Elektronische Daten] [Adrian Ng, Pierre Ip-Yam] We report on five patients who underwent MRI-guided focused ultrasound ablation of prostatic cancer under epidural anesthesia with intravenous dexmedetomidine sedation. This pioneering procedure requires an immobile therapeutic field with adequate sedation and analgesia provided to the patients. Duration of the procedure is longer compared to diagnostic MRI scans. In combination with epidural anesthesia, dexmedetomidine was used to provide moderate levels of sedation without causing respiratory depression or hemodynamic instability, and was useful in preventing shivering. The pharmacological properties of dexmedetomidine contribute to make this technique safe and effective. Japanese Society of Anesthesiologists, 2011 Alpha 2-adrenergic agonist nationallicence Focused ultrasound ablation nationallicence Dexmedetomidine nationallicence Shivering nationallicence Remote anesthesia nationallicence Ng Adrian Department of Anesthesiology, Singapore General Hospital, Outram Road, Block 2 Level 2, Singapore General Hospital, S169608, Singapore, Singapore aut Ip-Yam Pierre Department of Anesthesiology, Singapore General Hospital, Outram Road, Block 2 Level 2, Singapore General Hospital, S169608, Singapore, Singapore aut Journal of Anesthesia Springer Japan 25/5(2011-10-01), 756-759 0913-8668 25:5<756 2011 25 540 https://doi.org/10.1007/s00540-011-1189-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1189-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ng Adrian Department of Anesthesiology, Singapore General Hospital, Outram Road, Block 2 Level 2, Singapore General Hospital, S169608, Singapore, Singapore aut NATIONALLICENCE 700 1- Ip-Yam Pierre Department of Anesthesiology, Singapore General Hospital, Outram Road, Block 2 Level 2, Singapore General Hospital, S169608, Singapore, Singapore aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/5(2011-10-01), 756-759 0913-8668 25:5<756 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer