Remifentanil for conscious sedation and analgesia during awake fiberoptic tracheal intubation: A case report with pharmacokinetic simulations

被引：21
作者：
Reusche, MD [1 ]
Egan, TD [1 ]
机构：
[1] Univ Utah, Hlth Sci Ctr, Dept Anesthesiol, Sch Med, Salt Lake City, UT 84132 USA
来源：
JOURNAL OF CLINICAL ANESTHESIA | 1999年 / 11卷 / 01期
关键词：
airway management; angina; Ludwig's; intubation; intratracheal; fiberoptic; remifentanil; sedation; conscious;
D O I：
10.1016/S0952-8180(98)00127-5
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We report a case of awake, fiberoptic tracheal intubation of a difficult airway (Ludwig's angina) using remifentanil as part of the sedation-analgesia regimen. Remifentanil's rapid onset-rapid offset pharmacokinetic profile enabled precise control of the level of opioid effect. In combination with other drugs, remifentanil may offer some clinical advantages compared to the other fentanyl congeners in providing the opioid component of conscious sedation-analgesia for awake tracheal intubation in patients with difficult airways. (C) 1999 by Elsevier Science Inc.
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收藏
页码：64 / 68
页数：5
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