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Case Reports
Dexmedetomidine infusion for sedation during fiberoptic intubation: a report of three cases.
- Stuart A Grant, Dara S Breslin, David B MacLeod, David Gleason, and Gavin Martin.
- Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. grant021@mc.duke.edu
- J Clin Anesth. 2004 Mar 1;16(2):124-6.
AbstractWe 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.
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