total intravenous anaesthesia with propofol and dexmedetomidine for brachial plexus repair with intraoperative neuromuscular monitoring: a case series

Background: brachial plexus surgery requires neural repair with the use of intraoperative peripheral nerve stimulation without muscle relaxants.methods: twelve cases were conducted under total intravenous anaesthesia, receiving intravenous propofol, fentanyl and dexmedetomidine infusion. intraoperative hemodynamic conditions and postoperative functional recovery were assessed.results: 9 out of 12 cases were stable while one was in a lighter plane requiring 20 mg propofol and increased dexmedetomidine, two had bradycardia requiring reduced dexmedetomidine infusion. at three months, five cases showed improvement.conclusion: satisfactory conditions were achieved including hemodynamic stability, and muscle-sparing improving prognoses of brachial plexus surgeries.