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Case Reports in Anesthesiology
Volume 2016 (2016), Article ID 3931567, 3 pages
http://dx.doi.org/10.1155/2016/3931567
Case Report

Sedation Monitoring and Management during Percutaneous Endoscopic Lumbar Discectomy

1Anesthesiology and Reanimation Department, Mustafa Kemal University Medical School, 31100 Hatay, Turkey
2Anesthesiology and Reanimation Department, Ankara Ataturk Training and Research Hospital, 06800 Ankara, Turkey

Received 23 February 2016; Accepted 5 May 2016

Academic Editor: Mitsuharu Kodaka

Copyright © 2016 Menekse Oksar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Percutaneous endoscopic laser discectomy (PELD) is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem for endotracheal intubation, while patients placed in the prone position during percutaneous endoscopic discectomy pose a problem for airway management. Therefore, under these conditions, sedation should be not deeper than required. Here we report the sedation management of three cases that underwent PELD, with a focus on deep and safe sedation that was monitored using bispectral index score and observer’s assessment of alertness/sedation score.