PDF(Pubmed)
Abstract：
There are limited options for intravenous anesthetics and a lack of available information on the use of ketamine infusion during intracranial surgeries. We present a patient case report of hyperlactatemia during a craniotomy with neuromonitoring while on a propofol infusion with arterial lactate rising from 2.1 mmol/L to a peak of 5.0 mmol/L before reducing to 3.9 mmol/L after the transition to a mixed ketamine and dexmedetomidine infusion in order to maintain neuromonitoring quality and an appropriate depth of anesthesia. No complications were caused by the use of ketamine during this extended neurosurgery case.
摘要：
静脉麻醉药的选择有限，并且缺乏有关在颅内手术中使用氯胺酮输注的可用信息。我们提供了一例患者病例报告，在开颅手术期间进行神经监测，同时在丙泊酚输注时，动脉乳酸从2.1mmol/L上升到5.0mmol/L的峰值，然后在过渡到氯胺酮和右美托咪定混合输注后降低到3.9mmol/L，以保持神经监测质量和适当的麻醉深度。在此扩展的神经外科病例中，使用氯胺酮未引起并发症。
