Journal of Tissue Engineering and Reconstructive Surgery ›› 2025, Vol. 21 ›› Issue (3): 277-.

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Anesthetic effect of dexmedetomidine combined with propofol and remifentanil in head and face plastic surgery in plateau area

  

  • Online:2025-06-02 Published:2025-07-01

Abstract: Objective To investigate the anesthetic effect of dexmedetomidine combined with propofol and remifentanil in head and face plastic surgery in plateau area. Methods A total of 32 head and facial plastic surgery patients were enrolled in a Grade-III hospital at an altitude of 3,600 meters in Tibet Autonomous Region from March 2023 to December 2024. Patients were anesthetised with dexmedetomidine combined with propofol and remifentanil. Results  All 32 patients had stable hemodynamics, little circulation fluctuation, good postoperative analgesia and sedation, and the total incidence of postoperative adverse reactions was 12.5%. Conclusion  The anesthesia regimen of dexmedetomidine combined with propofol and remifentanil has significant advantages in the plateau area, and can effectively inhibit the stress response caused by intubation and surgical stimulation in terms of hemodynamic stability.

Key words: Dexmedetomidine, &emsp, Propofol, &emsp, Remifentanil, &emsp, Plastic surgery, &emsp, Plateau area