Conscious sedation for awake fibreoptic intubation: a review of the literature
نویسندگان
چکیده
منابع مشابه
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 ...
متن کاملAwake fibreoptic intubation for airway burns.
A young adult was admitted to a casualty department with severe burns sustained in a motor vehicle fire. His airway was initially patient, but in grave danger of obstruction due to inhalational injury. Conventional methods of airway management were unable to guarantee a patent airway and a novel approach is described.
متن کاملComplications of awake fibreoptic intubation without sedation in 200 healthy anaesthetists attending a training course.
BACKGROUND Two hundred anaesthetists underwent airway endoscopy and attempted awake fibreoptic intubation (FOI) on a training course. Complications were recorded and each subject's response to the procedure was assessed. METHODS Topical airway local anaesthesia was produced with up to 9 mg kg(-1) of lidocaine, sedation was not used. Complications during and after the procedure were noted. Lat...
متن کاملDexmedetomidine and low-dose ketamine provide adequate sedation for awake fibreoptic intubation.
PURPOSE We report the use of the alpha2 agonist, dexmedetomidine, with low-dose ketamine as a safe and effective treatment strategy to provide adequate comfort and sedation for a patient who fulfilled criteria of a difficult airway and required awake fibreoptic intubation (AFOI). CLINICAL FEATURES A 52-yr-old male with prostate cancer presented for radical prostatectomy. He reported several f...
متن کاملComparing 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: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 2013
ISSN: 0832-610X,1496-8975
DOI: 10.1007/s12630-013-9915-9