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J Clin Anesth. 2007 Mar;19(2):141-4.

Dexmedetomidine for conscious sedation in difficult awake fiberoptic intubation cases.

Author information

1
Department of Anesthesiology, The Ohio State University Medical Center, Columbus, OH 43210-1228, USA. sergio.bergese@osumc.edu

Erratum in

  • J Clin Anesth. 2007 Jun;19(4):323.

Abstract

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 with DEX. Dexmedetomidine was used to provide a moderate level of conscious sedation without causing respiratory distress or hemodynamic instability during fiberoptic intubation.

Comment in

PMID:
17379129
DOI:
10.1016/j.jclinane.2006.07.005
[Indexed for MEDLINE]

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