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

作　　者：Jinhong Wu Lijun Wang 

机构地区：[1]Department of Anesthesiology, Ear Eye Nose and Throat Hospital, Fudan University, Shanghai, China

出　　处：《Case Reports in Clinical Medicine》2017年第11期291-294,共4页临床医学病理报告（英文）

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.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.

关 键 词：AIRWAY Foreign Body Anesthesia Rigid BRONCHOSCOPY DEXMEDETOMIDINE SPONTANEOUS RESPIRATION 

分 类 号：R73[医药卫生—肿瘤]