Dexmedetomidine as sole sedative for awake intubation in management of the critical airway

被引:111
作者
Abdelmalak, Basem
Makary, Laila
Hoban, Jeremy
Doyle, D. John
机构
[1] Cleveland Clin, Dept Gen Anesthesiol, Cleveland, OH 44195 USA
[2] Cleveland Clin, Dept Outcomes Res, Cleveland, OH 44195 USA
[3] Cleveland Clin, Div Anesthesiol Crit Care Med & Comprehens Pain M, Cleveland, OH 44195 USA
[4] Case Western Reserve Univ, Coll Med, Cleveland Clin Lerner, Cleveland, OH 44195 USA
关键词
dexmedetomidine; difficult airway; awake intubation; fiberoptic bronchoscopy; sedation;
D O I
10.1016/j.jclinane.2006.09.006
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report a series of successful awake fiberoptic intubations in patients with critical (unstable, difficult) airways using the (alpha(2)-agonist, dexmedetomidine. Dexmedetomidine has several desirable pharmacologic properties, including sedation, anxiolysis, hypnosis, analgesia, amnesia, antisialagogue effects, and a unique respiratory-sparing effect. Dexmedetomidine appears to be a useful agent for sedation during awake fiberoptic intubation in difficult airway patients. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码:370 / 373
页数:4
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