Premium
CASE REPORT: Dexmedetomidine for awake fibreoptic intubation and awake self‐positioning in a patient with a critically located cervical lesion for surgical removal of infra‐tentorial tumour
Author(s) -
Sriganesh K.,
Ramesh V. J.,
Veena S.,
Chandramouli B. A.
Publication year - 2010
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2010.06411.x
Subject(s) - medicine , dexmedetomidine , intubation , sedation , anesthesia , lesion , surgery , cerebellopontine angle , tracheal intubation , radiology , magnetic resonance imaging
Summary Cervical lesions compressing the spinal cord pose a significant risk of exacerbating the existing neurological condition during tracheal intubation and subsequent positioning. Awake fibreoptic‐assisted intubation is a suitable option in such situations. We describe how the use of dexmedetomidine for sedation during awake fibreoptic intubation also facilitated self‐positioning before surgery in a patient with a cervical cord compressive lesion and raised intracranial pressure undergoing excision of a cerebellopontine angle lesion in the lateral position, without any adverse neurological outcome.