Open AccessDexmedetomidine and fentanyl combination for procedural sedation in a case of Duchenne muscular dystrophy
Author(s) -
Ashish Kulshrestha,
Sukhminder Jit Singh Bajwa,
Amarjit Singh,
Vinod Kapoor
Publication year - 2011
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.94788
Subject(s) - dexmedetomidine , medicine , duchenne muscular dystrophy , fentanyl , sedation , anesthesia , muscular dystrophy , muscle weakness , weakness , surgery
Duchenne muscular dystrophy, an X-linked disorder characterized by progressive muscle weakness, is the most common muscular dystrophy among children leading to death before the end of third decade. Anesthesia in such patients pose a great challenge due to various complications associated with it. The dreaded metabolic and clinical complications occur due to various inhalational anesthetics and succinylcholine in this subset of patients. We are reporting a child with diagnosed Duchenne muscular dystrophy who underwent excision of dentigerous cyst in oral cavity under procedural sedation with combination of dexmedetomidine and fentanyl and thus administration of general anesthesia was avoided.