Dexmedetomidine as sole sedative for awake intubation in management of the critical airway

Basem Abdelmalak; Laila Makary; Jeremy Hoban; D. John Doyle

doi:10.1016/j.jclinane.2006.09.006

Dexmedetomidine as sole sedative for awake intubation in management of the critical airway

Basem Abdelmalak, Laila Makary, Jeremy Hoban, D. John Doyle

Research output: Contribution to journal › Article › peer-review

106 Scopus citations

Abstract

We report a series of successful awake fiberoptic intubations in patients with critical (unstable, difficult) airways using the α₂-agonist, dexmedetomidine. Dexmedetomidine has several desirable pharmacologic properties, including sedation, anxiolysis, hypnosis, analgesia, amnesia, antisialagogue effects, and a unique respiratory-sparing effect. Dexmedetomidine appears to be a useful agent for sedation during awake fiberoptic intubation in difficult airway patients.

Original language	English (US)
Pages (from-to)	370-373
Number of pages	4
Journal	Journal of Clinical Anesthesia
Volume	19
Issue number	5
DOIs	https://doi.org/10.1016/j.jclinane.2006.09.006
State	Published - Aug 2007

Keywords

Awake intubation
Dexmedetomidine
Difficult airway
Fiberoptic bronchoscopy
Sedation

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.jclinane.2006.09.006

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title = "Dexmedetomidine as sole sedative for awake intubation in management of the critical airway",

abstract = "We report a series of successful awake fiberoptic intubations in patients with critical (unstable, difficult) airways using the α2-agonist, dexmedetomidine. Dexmedetomidine has several desirable pharmacologic properties, including sedation, anxiolysis, hypnosis, analgesia, amnesia, antisialagogue effects, and a unique respiratory-sparing effect. Dexmedetomidine appears to be a useful agent for sedation during awake fiberoptic intubation in difficult airway patients.",

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AU - Hoban, Jeremy

AU - Doyle, D. John

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AB - We report a series of successful awake fiberoptic intubations in patients with critical (unstable, difficult) airways using the α2-agonist, dexmedetomidine. Dexmedetomidine has several desirable pharmacologic properties, including sedation, anxiolysis, hypnosis, analgesia, amnesia, antisialagogue effects, and a unique respiratory-sparing effect. Dexmedetomidine appears to be a useful agent for sedation during awake fiberoptic intubation in difficult airway patients.

KW - Awake intubation

KW - Dexmedetomidine

KW - Difficult airway

KW - Fiberoptic bronchoscopy

KW - Sedation

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Dexmedetomidine as sole sedative for awake intubation in management of the critical airway

Abstract

Keywords

ASJC Scopus subject areas

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