Spontaneous Respiration with Dexmedetomidine for Removal of Subglottic Airway Foreign Body in an Infant: A Case Report

• 作者: Jinhong Wu Lijun Wang
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: AIRWAY Foreign Body Anesthesia Rigid BRONCHOSCOPY DEXMEDETOMIDINE SPONTANEOUS RESPIRATION
• 年，卷（期）: 2017,（11）
• 页码范围: 291-294
• 页数: 4页
• 分类号: R73

摘要

Anesthesia risks for surgery of airway foreign body removal are very high. A safe way to anaesthetize the patients is important. This report presented a case of an infant with a foreign body in the subglottic area, which was ultimately removed by rigid laryngoscopy under spontaneous respiratory using dexmedetomidine (DEX). A loading dose of DEX 4 μg&middotkg-1 and sevoflurane 2 MAC could provide adequate depth of anesthesia during inserting the rigid bronchoscopy, and DEX 3 μg&middotkg-1&middoth-1 was suitable for the maintance of anethesia with spontaneous respiratory. We considered that the maintenance of spontaneous respiration is one of the key points.