AB227. Tackling a challenging intubation in a child: awake fibre-optic intubation using dexmedetomidine
نویسندگان
چکیده
منابع مشابه
A Comparative Study between Dexmedetomidine and Propofol for Fibre-optic Intubation
Background: Providing adequate anxiolysis and sedation with a patent airway while performing fiberoptic bronchoscopic intubation is a challenging task to an anaesthetist. Ideal sedation would ensure calm and cooperative patient maintaining spontaneous ventilation. Dexmedetomidine is such a α2a adrenergic agonist with sympatholytic, analgesic, and sedative properties. Though its role is very wel...
متن کاملAwake orotracheal fibre-optic intubation: Comparison of two different doses of dexmedetomidine on intubation conditions in patients undergoing cervical spine surgery
Background and Aims Awake fibre-optic intubation (AFOI) is an integral part of anaesthetic management of difficult airways. Conscious sedation is essential to assist AFOI. This study compared two different doses of dexmedetomidine in combination with topical spray and airway blocks for awake orotracheal fibre-optic intubation in patients undergoing elective cervical spine surgery with rigid cer...
متن کاملDexmedetomidine for conscious sedation in difficult awake fiberoptic intubation cases.
Currently used methods of sedation for fiberoptic intubation such as benzodiazepines, propofol, or opioids have their limitations. Dexmedetomidine (DEX) is a selective alpha-2 adrenergic agonist that has been used clinically for its sympatholytic, analgesic, and sedative properties. We report on 4 patients with particularly difficult airways who underwent successful awake fiberoptic intubation ...
متن کاملDexmedetomidine versus Remifentanil for Sedation during Awake Fiberoptic Intubation
This study compared remifentanil and dexmedetomidine as awake fiberoptic intubation (AFOI) anesthetics. Thirty-four adult ASA I-III patients were enrolled in a double-blinded randomized pilot study to receive remifentanil (REM) or dexmedetomidine (DEX) for sedation during AFOI (nasal and oral). Thirty patients completed the study and received 2 mg midazolam IV and topical anesthesia. The REM gr...
متن کاملLearning fiberoptic intubation for awake nasotracheal intubation
Background Fiberoptic nasotracheal intubation (FNI) is performed if it is difficult to open the mouth or if intubation using laryngoscope is expected to be difficult. However, training is necessary because intubation performed by inexperienced operators leads to complications. Methods Every resident performed intubation in 40 patients. Success of FNI was evaluated as the time of FNI. First in...
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ژورنال
عنوان ژورنال: Mesentery and Peritoneum
سال: 2020
ISSN: 2616-2725
DOI: 10.21037/map.2020.ab227