A 22-year-old male, weighing 70 cm, weighing 70 kg, ASA I U, who was evacuated to our hospital with a diagnosis of conminuted fracture due to firearm associated with surgical treatment.
The patient was monitored in the same way as in the first clinical case: SaO2, heart rate, non-invasive blood pressure, temperature, capnography and degree of hypnosis using the BIS monitor.
After administration of 250 ml of colloid IV bolus, intradural anesthesia was performed using 0.5% bupivacaine hyperbaric 10 mg and fentanyl 10 μg.
The adjuvant medication was midazolam (3 mg iv bolus) and propofol (1.5 mg/kg/h).
Antibiotic prophylaxis was cefazolin 2 g IV.
40 mg iv, 3 mg iv granisetron and 1 g iv tranexamic acid were also prescribed.
At the time of surgery desketoprofen (50 mg IV) was administered. Propofol was ended and a low incidence of femoral wound perfusion was achieved with 2% mepivacaine 200 mg. The patient was admitted to the operating room after surgery.
BIS® monitoring showed values between 97 and 30.
The capnography curve was normal and sedation assessment in the post-surgical recovery unit was maximal (10 points on the Aldrete Score).
