Postoperative Dexmedetomidine Infusion after Microvascular Free Flap Surgery: A Case Report

Authors

  • Patricia Lorna O. Cruz Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Ana Larissa H. Guerrero Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Mary Ellen C. Perez Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Anthony R. Perez Department of Surgery, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.5632

Keywords:

dexmedetomidine, microsurgical free flap, ameloblastoma, surgical flap

Abstract

Microvascular free flap surgery requires a delicate balance between optimum patient hemodynamic status and
adequate free flap perfusion during the entire perioperative course. A potentially turbulent postoperative course must be appropriately averted as this can lead to flap failure. This paper presents the successful use of postoperative dexmedetomidine infusion to provide a smooth transition after discontinuing general anesthesia while maintaining free flap viability in a 19-year-old male with ameloblastoma who underwent hemimandibulectomy and free fibular osteomyocutaneous microvascular flap surgery.

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Published

2022-10-12

Issue

Vol. 56 No. 18 (2022): Anesthesiology Issue

Section

Articles

How to Cite

1.
Postoperative Dexmedetomidine Infusion after Microvascular Free Flap Surgery: A Case Report. Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 28];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5632