Dexmedetomidine infusion for sedation during fiberoptic intubation: A report of three cases

被引:67
作者
Grant, SA [1 ]
Breslin, DS [1 ]
MacLeod, DB [1 ]
Gleason, D [1 ]
Martin, G [1 ]
机构
[1] Duke Univ, Med Ctr, North Hosp, Durham, NC 27710 USA
关键词
alpha-adrenergic agonist; awake fiberoptic intubation; dexmedetomidine; difficult air-way;
D O I
10.1016/j.jclinane.2003.05.010
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report three patients undergoing cervical spine surgery who required awake fiberoptic intubation, and in whom sedation was provided using a dexmedetomidine infusion. Dexmedetomidine was used to provide a moderate level of sedation without causing,respiratory distress or hemodynamic instability during fiberoptic intubation. Conditions for intubation were acceptable in all three patients after co-administration of topical anesthesia. Dexmedetomidine may serve as a useful adjunct for this procedure. The anesthetic management and anesthetic implications of using dexmedetomidine infusions for awake fiberoptic intubation are discussed. (C) 2004 by Elsevier Inc.
引用
收藏
页码:124 / 126
页数:3
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