Anesthetic manipulation in extreme airway stenosis: A case report

被引：1
|
作者：
Zhou Z.-B. [1 ]
Yang X.-Y. [1 ]
Zhou X. [1 ]
Wen S.-H. [1 ]
Xiao Y. [1 ]
Feng X. [1 ]
机构：
[1] Department of Anesthesiology, First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshan 2nd Road, Guangzhou
来源：
Journal of Medical Case Reports | / 8卷 / 1期
关键词：
Sevoflurane; Vocal Cord; Remifentanil; Dexmedetomidine; Difficult Airway;
D O I：
10.1186/1752-1947-8-292
中图分类号：
学科分类号：
摘要：
Case presentation: A 35-year-old Chinese woman presented to our hospital with difficulty breathing. Computerized tomography showed a tumor in the frontal area of her neck, which was causing extreme narrowing of her trachea. She was immediately scheduled for emergency surgery to remove the tumor. Fiberscopic intubation was carefully performed with dexmedetomidine sedation and remifentanil analgesia. Spontaneous respiration was successfully maintained.; Conclusion: In cases of extreme airway stenosis, intubation can be safely achieved with dexmedetomidine sedation and remifentanil analgesia.; Introduction: Anesthetic management with airway stenosis is challenging. Techniques for maintaining spontaneous respiration are required under sedative and analgesic conditions. © 2014 Zhou et al.
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