Clinical Comparative Study Between Dexmedetomidine, Magnesium sulphate and Ketofol versus Midazolam for Sedation During Awake Fiberoptic Nasotracheal Intubation in Predicted Difficult Air ways Patients

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Dexmedetomidine 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...

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Dexmedetomidine 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 ...

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Learning 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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Comparison between remifentanil and dexmedetomidine for sedation during modified awake fiberoptic intubation

Cricothyroid membrane injections and the application of a coarse fiberoptic bronchoscope (FOB) below the vocal cords for topical anesthesia have a number of limitations for certain patients. Thus, the aim of the present observational study was to assess the effect of a novel modified topical anesthesia method using the effective sedation drugs, remifentanil (Rem) or dexmedetomidine (Dex), durin...

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Comparing Sedation Regimens for Awake Fiberoptic Intubation

Correspondence To the Editor: In a single‑center, prospective, randomized double‑blind clinical study comparing dexmedetomidine‑ midazolam and sufentanil‑midazolam sedation regimens for awake fiberoptic intubation (AFOI) in 50 patients with difficult airways due to limited mouth opening, Li et al. show that both dexmedetomidine and sufentanil are effective as an adjuvant for AFOI under airway t...

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ژورنال

عنوان ژورنال: The Egyptian Journal of Hospital Medicine

سال: 2018

ISSN: 2090-7125

DOI: 10.21608/ejhm.2018.10147