• Anaesthesia · Sep 2010

    Case Reports

    Dexmedetomidine for awake fibreoptic intubation and awake self-positioning in a patient with a critically located cervical lesion for surgical removal of infra-tentorial tumour.

    • K Sriganesh, V J Ramesh, S Veena, and B A Chandramouli.
    • Neuroanaesthesia, National Institute of Mental Health & Neurosciences, Bangalore, India. drsri23@rediffmail.com
    • Anaesthesia. 2010 Sep 1;65(9):949-51.

    AbstractCervical lesions compressing the spinal cord pose a significant risk of exacerbating the existing neurological condition during tracheal intubation and subsequent positioning. Awake fibreoptic-assisted intubation is a suitable option in such situations. We describe how the use of dexmedetomidine for sedation during awake fibreoptic intubation also facilitated self-positioning before surgery in a patient with a cervical cord compressive lesion and raised intracranial pressure undergoing excision of a cerebellopontine angle lesion in the lateral position, without any adverse neurological outcome.© 2010 The Authors. Journal compilation © 2010 The Association of Anaesthetists of Great Britain and Ireland.

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