{"id":"https://openalex.org/W2013237019","doi":"https://doi.org/10.4103/2348-0548.124854","title":"Use of dexmedetomidine for carotid artery stenting in a patient with multiple comorbidities","display_name":"Use of dexmedetomidine for carotid artery stenting in a patient with multiple comorbidities","publication_year":2014,"publication_date":"2014-01-13","ids":{"openalex":"https://openalex.org/W2013237019","doi":"https://doi.org/10.4103/2348-0548.124854","mag":"2013237019"},"language":"en","primary_location":{"id":"doi:10.4103/2348-0548.124854","doi":"https://doi.org/10.4103/2348-0548.124854","is_oa":true,"landing_page_url":"https://doi.org/10.4103/2348-0548.124854","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4103/2348-0548.124854.pdf","source":{"id":"https://openalex.org/S2764626052","display_name":"Journal of Neuroanaesthesiology and Critical Care","issn_l":"2348-0548","issn":["2348-0548","2348-926X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neuroanaesthesiology and Critical Care","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W2013237019"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4103/2348-0548.124854.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013743430","display_name":"Surya Kumar Dube","orcid":"https://orcid.org/0000-0002-0224-360X","observed_orcids":["https://orcid.org/0000-0002-0224-360X"]},"institutions":[{"id":"https://openalex.org/I63739035","display_name":"All India Institute of Medical Sciences","ror":"https://ror.org/02dwcqs71","country_code":"IN","type":"education","lineage":["https://openalex.org/I2799351866","https://openalex.org/I4210148677","https://openalex.org/I63739035"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Surya Dube","raw_affiliation_strings":["Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi","Department of Neuroanaesthesiology Neurosciences Centre All India Institute of Medical Sciences New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi","institution_ids":["https://openalex.org/I63739035"]},{"raw_affiliation_string":"Department of Neuroanaesthesiology Neurosciences Centre All India Institute of Medical Sciences New Delhi, India","institution_ids":["https://openalex.org/I63739035"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101986222","display_name":"Arati Rai","orcid":"https://orcid.org/0000-0003-4547-697X","observed_orcids":["https://orcid.org/0000-0003-4547-697X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Arati Rai","raw_affiliation_strings":["Department of Anaesthesia, Sikkim Manipal Institute of Medical Sciences, Tadong, Gangtok, Sikkim, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Sikkim Manipal Institute of Medical Sciences, Tadong, Gangtok, Sikkim, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064140452","display_name":"Meyong Pincho Bhutia","orcid":"https://orcid.org/0000-0001-9869-4669","observed_orcids":["https://orcid.org/0000-0001-9869-4669"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Meyong Bhutia","raw_affiliation_strings":["Department of Anaesthesia, Sikkim Manipal Institute of Medical Sciences, Tadong, Gangtok, Sikkim, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Sikkim Manipal Institute of Medical Sciences, Tadong, Gangtok, Sikkim, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030094807","display_name":"Hemanshu Prabhakar","orcid":"https://orcid.org/0000-0001-7830-3296","observed_orcids":["https://orcid.org/0000-0001-7830-3296"]},"institutions":[{"id":"https://openalex.org/I63739035","display_name":"All India Institute of Medical Sciences","ror":"https://ror.org/02dwcqs71","country_code":"IN","type":"education","lineage":["https://openalex.org/I2799351866","https://openalex.org/I4210148677","https://openalex.org/I63739035"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Hemanshu Prabhakar","raw_affiliation_strings":["Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi","Department of Neuroanaesthesiology Neurosciences Centre All India Institute of Medical Sciences New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi","institution_ids":["https://openalex.org/I63739035"]},{"raw_affiliation_string":"Department of Neuroanaesthesiology Neurosciences Centre All India Institute of Medical Sciences New Delhi, India","institution_ids":["https://openalex.org/I63739035"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5013743430"],"corresponding_institution_ids":["https://openalex.org/I63739035"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"01","issue":"01","first_page":"062","last_page":"064"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.9262999892234802,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.9262999892234802,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.0617000013589859,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dexmedetomidine","display_name":"dexmedetomidine","score":0.9940000176429749},{"id":"https://openalex.org/keywords/carotid-artery-stenting","display_name":"carotid artery stenting","score":0.996999979019165},{"id":"https://openalex.org/keywords/carotid-stenosis","display_name":"carotid artery stenosis","score":0.7459999918937683},{"id":"https://openalex.org/keywords/multiple-comorbidities","display_name":"multiple comorbidities","score":0.7649999856948853},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.6069999933242798},{"id":"https://openalex.org/keywords/difficult-airway","display_name":"difficult airway","score":0.4659999907016754},{"id":"https://openalex.org/keywords/hoarseness","display_name":"hoarseness","score":0.5009999871253967},{"id":"https://openalex.org/keywords/laryngeal-surgery","display_name":"laryngeal surgery","score":0.5759999752044678},{"id":"https://openalex.org/keywords/regional-anesthesia","display_name":"regional anesthesia","score":0.3149999976158142},{"id":"https://openalex.org/keywords/sedation","display_name":"sedation","score":0.3709999918937683},{"id":"https://openalex.org/keywords/procedural-sedation","display_name":"procedural sedation","score":0.37400001287460327},{"id":"https://openalex.org/keywords/carotid-endarterectomy","display_name":"carotid endarterectomy","score":0.5040000081062317},{"id":"https://openalex.org/keywords/stroke-prevention","display_name":"stroke prevention","score":0.3619999885559082},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.3959999978542328},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.7250000238418579}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9799830913543701},{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.4860897362232208},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.48593464493751526},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4612492620944977},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.3658163547515869},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3586607873439789}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.4103/2348-0548.124854","doi":"https://doi.org/10.4103/2348-0548.124854","is_oa":true,"landing_page_url":"https://doi.org/10.4103/2348-0548.124854","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4103/2348-0548.124854.pdf","source":{"id":"https://openalex.org/S2764626052","display_name":"Journal of Neuroanaesthesiology and Critical Care","issn_l":"2348-0548","issn":["2348-0548","2348-926X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neuroanaesthesiology and Critical Care","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:9b1caa4f998f4f0f8988ec93afd8075f","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/9b1caa4f998f4f0f8988ec93afd8075f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Neuroanaesthesiology and Critical Care, Vol 01, Iss 01, Pp 062-064 (2014)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4103/2348-0548.124854","doi":"https://doi.org/10.4103/2348-0548.124854","is_oa":true,"landing_page_url":"https://doi.org/10.4103/2348-0548.124854","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4103/2348-0548.124854.pdf","source":{"id":"https://openalex.org/S2764626052","display_name":"Journal of Neuroanaesthesiology and Critical Care","issn_l":"2348-0548","issn":["2348-0548","2348-926X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neuroanaesthesiology and Critical Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2013237019.pdf","grobid_xml":"https://content.openalex.org/works/W2013237019.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1963510932","https://openalex.org/W1965666565","https://openalex.org/W2038169486","https://openalex.org/W2067978100","https://openalex.org/W2085594371","https://openalex.org/W2091241231","https://openalex.org/W2109201402","https://openalex.org/W2137250253","https://openalex.org/W2415454669","https://openalex.org/W2590429728","https://openalex.org/W3032791538"],"related_works":["https://openalex.org/W2415454669","https://openalex.org/W6960301640","https://openalex.org/W2411979737","https://openalex.org/W4220937378","https://openalex.org/W2417013533","https://openalex.org/W2069736612","https://openalex.org/W2910335149","https://openalex.org/W3029842917","https://openalex.org/W3033391416","https://openalex.org/W2085594371"],"abstract_inverted_index":{"An":[0,465,789],"82-year":[1],"90-kg":[2],"male":[3],"presented":[4],"with":[5,178,200,348,431,460,481,502,553,563,620,632,643,692,735,777,802,889,975],"repeated":[6],"episodes":[7,486,826,852],"of":[8,11,17,20,24,29,47,72,98,100,116,125,128,176,205,241,317,324,439,467,487,492,526,594,601,606,614,651,655,675,681,700,702,710,719,728,737,744,748,750,753,763,827,832,843,853,885,902,911,931,938],"transient":[9,493],"loss":[10],"consciousness":[12],"since":[13,31,38,54,64],"7":[14,818],"days,":[15],"weakness":[16],"left":[18,27,171,231,325,411],"side":[19,28],"body":[21,30],"and":[22,42,49,58,74,84,149,160,163,186,199,215,233,275,283,297,304,321,328,345,400,404,420,448,489,504,535,560,592,612,630,645,663,678,742,767,773,781,805,838,870,915,920,965],"deviation":[23],"mouth":[25],"to":[26,358,364,375,471,538,708,717,858,868,907,935,955],"2":[32,51,83,434,574],"days.":[33],"He":[34,68,93,142,168,192,223],"was":[35,43,193,245,250,293,330,351,362,373,402,415,422,443,469,536,864],"a":[36,44,70,96,117,170,196,201,281,289,302,356,477,532,570,599,638,739,973],"smoker":[37],"last":[39,55,65],"50":[40],"years":[41,103],"known":[45],"case":[46,951],"hypertension":[48,494,791],"Type":[50],"diabetes":[52],"mellitus":[53],"10":[56,816,940],"year":[57],"chronic":[59],"obstructive":[60],"pulmonary":[61,252],"disease":[62],"(COPD)":[63],"3":[66,226,634,694,784],"years.":[67],"had":[69,85,95,123,143,169,212,224,314,509,531,698,896],"history":[71,97],"snoring":[73],"dyspnoea":[75],"on":[76],"exertion":[77],"New":[78],"York":[79],"Heart":[80],"Association":[81],"grade":[82,225],"undergone":[86],"coronary":[87],"artery":[88,320,327,335,413,451],"bypass":[89],"grafting":[90],"15-years":[91],"ago.":[92],"also":[94,294],"hoarseness":[99,127,701,736],"voice":[101,129,703],"4":[102,428,668],"ago":[104],"for":[105,332,342,353,543,548,551,585],"which":[106,499,623,686,704,713,769,966],"he":[107,211,313,329],"underwent":[108],"laryngeal":[109,132,711],"biopsy":[110],"followed":[111,792],"by":[112,793,811],"microlaryngeal":[113],"surgery":[114],"(MLS)":[115],"vocal":[118],"cord":[119],"nodule.":[120],"The":[121,291,371,529,545,648,673,759,900],"patient":[122,249,292,340,350,372,479,508,530,595,659,697,734,863,895,974],"complaints":[124,699],"mild":[126,187],"following":[130],"the":[131,156,242,248,309,339,349,354,360,384,390,393,397,449,456,482,507,513,517,524,527,539,604,722,726,746,830,851,862,883,909,958],"surgery.":[133],"His":[134,259],"routine":[135,406],"haematological":[136],"investigations":[137],"were":[138,408,458,500,872],"within":[139],"normal":[140],"limit.":[141],"COPD":[144,729],"changes":[145],"in":[146,155,157,189,218,229,454,561,627,690,725,730,796,848,887,946],"chest-X":[147],"ray":[148],"his":[150,378],"ECG":[151],"showed":[152],"ST":[153],"depression":[154,622,677,752],"V3-V5,":[158],"II":[159],"avF":[161],"leads":[162],"right":[164,219,318,333],"bundle":[165],"branch":[166],"block.":[167],"ventricular":[172],"ejection":[173],"fraction":[174],"(LVEF)":[175],"50%":[177],"inferior":[179],"wall":[180,182],"regional":[181],"motion":[183],"abnormality":[184],"(RWMA)":[185],"MR":[188],"2D":[190],"Echocardiography.":[191],"edentulous,":[194],"having":[195],"short":[197,740],"neck":[198,741],"Mallampatti":[202],"class":[203],"(MPC)":[204],"3.":[206],"One":[207],"respiratory":[208,621,656,676,751],"system":[209],"examination":[210,244],"bilateral":[213],"rhonchi":[214],"occasional":[216],"crepititions":[217],"lower":[220,234],"lung":[221],"area.":[222],"motor":[227],"power":[228],"both":[230,455],"upper":[232],"extremity":[235],"without":[236],"any":[237],"sensory":[238],"deficit.":[239],"Rest":[240],"systemic":[243,977],"normal.":[246],"As":[247,836],"uncooperative":[251],"function":[253],"test":[254],"could":[255],"not":[256,388],"be":[257,365,688,706,756,775,809,856,968],"performed.":[258],"medications":[260,380],"included":[261],"tab":[262,276,284],"metformin":[263],"(500":[264],"mg),":[265,268,271,274],"glimeperide":[266],"(1":[267,441],"aspirin":[269],"(75":[270],"atrovastatin":[272],"(20":[273],"losartan":[277],"(50":[278],"mg)":[279,287],"once":[280],"day":[282,303],"amlodipine":[285],"(10":[286],"twice":[288],"day.":[290],"receiving":[295,865],"salbutamol":[296],"ipratropium":[298],"inhalation":[299],"three":[300],"times":[301],"as":[305,861],"when":[306],"required.":[307],"In":[308,392,820],"magnetic":[310],"resonance":[311],"angiography,":[312],">90%":[315],"stenosis":[316,323,556],"carotid":[319,326,334,833,844],">50%":[322],"scheduled":[331,363,379],"stenting":[336],"(CAS).":[337],"Since":[338],"refused":[341],"general":[343,578],"anaesthesia":[344,419,579],"direct":[346],"communication":[347],"desirable":[352],"neuroradiologists,":[355],"decision":[357],"perform":[359],"procedure":[361],"performed":[366,416],"under":[367,417],"conscious":[368],"sedation":[369,662],"(CS).":[370],"advised":[374],"take":[376],"all":[377,396,405],"(except":[381],"metformin)":[382],"before":[383,523],"procedure.":[385,514,528],"We":[386,515],"did":[387],"premedicate":[389],"patient.":[391,948],"neuroradiological":[394],"suite":[395],"airway":[398,590],"equipments":[399],"defibrillator":[401],"arranged":[403],"monitors":[407],"attached.":[409],"A":[410,436],"radial":[412],"cannulation":[414],"local":[418],"oxygen":[421],"administered":[423,444],"through":[424],"nasal":[425],"prongs":[426],"(at":[427],"l/min)":[429],"along":[430],"continuous":[432],"ETCO":[433],"monitoring.":[435],"bolus":[437],"dose":[438],"Dexmedetomidine":[440,636],"\u03bcg/kg)":[442],"over":[445,757,815],"20":[446],"mins":[447,522],"femoral":[450],"puncture":[452],"sites":[453],"limbs":[457],"infiltrated":[459],"2%":[461],"plain":[462],"lignocaine":[463],"solution.":[464],"infusion":[466,519,860],"dexmedetomidine":[468,518,652,682,754,764,803,813,859,866,886,903,945,961],"titrated":[470],"0.1":[472],"\u03bcg/kg":[473],"(dose":[474],"that":[475,869,877,960],"allowed":[476],"comfortable":[478],"communicating":[480],"neuroradiologists).":[483],"Except":[484],"two":[485,825],"bradycardia":[488,766,828,837,854],"1":[490,558],"episode":[491],"(all":[495],"during":[496,603,661,876],"stent":[497,834],"placement)":[498],"managed":[501],"glycopyrrolate":[503],"labetalol,":[505],"respectively,":[506],"stable":[510],"vitals":[511],"throughout":[512],"discontinued":[516],"approximately":[520],"15":[521],"end":[525],"smooth":[533],"recovery":[534],"shifted":[537],"intensive":[540],"care":[541],"unit":[542],"observation.":[544],"current":[546],"recommendations":[547],"CAS":[549,568],"are":[550,582,597,653,683,765,770,840],"patients":[552,562,629,631,691,888],"symptomatic":[554],"severe":[555],"(>70%)[":[557],"]":[559,575,635,669,672,695,785,788,819,847,919,941],"other":[564,649],"coexisting":[565],"medical":[566],"abnormality.":[567],"is":[569,618,624,637],"safe":[571],"therapeutic":[572],"option.[":[573],"Local":[576],"anaesthesia,":[577],"or":[580,779],"CS":[581],"available":[583],"options":[584],"CAS.":[586],"But":[587],"profound":[588],"sedation,":[589],"obstruction":[591],"lack":[593,654,674,718,749],"cooperation":[596,660],"always":[598],"matter":[600],"concern":[602],"use":[605,613,884,901],"sedative":[607,644],"agents":[608],"(propofol,":[609],"midazolam,":[610],"etc.)":[611],"benzodiazepine":[615],"and/or":[616],"opioid":[617],"associated":[619],"commonly":[625],"seen":[626],"older":[628],"COPD.[":[633,693],"selective":[639],"alpha-2":[640],"adrenoreceptor":[641],"agonist":[642],"analgesic":[646],"effects.":[647],"advantages":[650,964],"depression,":[657],"better":[658],"easy":[664],"arousal":[665],"after":[666,721],"sedation.[":[667],"[":[670,786],"5":[671],"bronchodilatory":[679],"effects":[680,762],"useful":[684,689,970],"properties":[685],"can":[687,774,808,967],"Our":[696],"might":[705],"due":[707,716,934],"some":[709],"pathology":[712],"remained":[714],"undiagnosed":[715],"follow-up":[720],"MLS.":[723],"So":[724,942],"settings":[727],"an":[731],"obese":[732],"elderly":[733],"voice,":[738],"MPC":[743],"3,":[745],"importance":[747],"cannot":[755,855],"emphasised.":[758],"reported":[760,841,906],"cardiovascular":[761],"hypotension":[768,839],"usually":[771],"temporary":[772],"treated":[776],"atropine":[778],"ephedrine":[780],"volume":[782],"infusion.[":[783],"6":[787],"initial":[790],"reflex":[794],"decrease":[795,908],"heart":[797],"rate":[798],"has":[799,904,923,962],"been":[800,905],"described":[801],"administration":[804],"this":[806,950],"response":[807],"minimised":[810],"administering":[812],"slowly":[814],"mins.[":[817],"our":[821,849,894,947],"case,":[822,850],"we":[823,943,953],"encountered":[824],"at":[829],"time":[831],"placement.":[835],"complications":[842],"stenting,[":[845],"8":[846],"ascribed":[857],"prior":[867],"there":[871],"no":[873],"such":[874],"events":[875,914],"period.":[878],"Current":[879],"literature":[880],"cautions":[881],"against":[882],"compromised":[890],"cardiac":[891,913],"status,":[892],"but":[893],"marginally":[897],"low":[898],"LVEF.":[899],"incidence":[910],"perioperative":[912],"myocardial":[916,926,932],"ischaemia[":[917],"9":[918],"animal":[921],"study":[922],"shown":[924],"decreased":[925],"lactate":[927],"release":[928],"(direct":[929],"measure":[930],"ischaemia)":[933],"sympatholytic":[936],"effect":[937],"dexmedetomidine.[":[939],"used":[944],"With":[949],"report":[952],"want":[954],"emphasise":[956],"upon":[957],"fact":[959],"various":[963,976],"very":[969],"while":[971],"managing":[972],"comorbidities.":[978]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2016-06-24T00:00:00"}