General anesthesia in a patient with citrullinemia using Precedex as an adjunct to prevent delayed emergence
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- 作者：Hersh Patel ; MD ; MBA (Anesthesiology Resident) ; Jung Kim. ; MD (Associate Professor) ; Tessa Kate Huncke ; MD ; Tessa.huncke@nyumc.org" class="auth_mail" title="E-mail the corresponding author (Clinical Professor)
- 关键词：Citrullinemia ; Precedex ; Dexmedetomidine ; Vagus nerve stimulator
- 刊名：Journal of Clinical Anesthesia
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：33
- 期：Complete
- 页码：403-405
- 全文大小：137 K
文摘
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Citrullinemia increases the risk of intraoperative hyperammonemia leading to delayed emergence.
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Stress response to surgery augments protein catabolism and ammonia production.
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Preoperative fluid management and dexmedetomidine blunt the intraoperative stress response.
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Managing intraoperative ammonia production improves emergence from general anesthesia.