• J Clin Anesth · Mar 2007

    Case Reports

    Dexmedetomidine for conscious sedation in difficult awake fiberoptic intubation cases.

    • Sergio D Bergese, Babak Khabiri, William D Roberts, Michael B Howie, Thomas D McSweeney, and Mark A Gerhardt.
    • Department of Anesthesiology, The Ohio State University Medical Center, Columbus, OH 43210-1228, USA. sergio.bergese@osumc.edu
    • J Clin Anesth. 2007 Mar 1;19(2):141-4.

    AbstractCurrently 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.

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