Journal
JOURNAL OF CLINICAL ANESTHESIA
Volume 18, Issue 6, Pages 452-454Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jclinane.2006.02.004
Keywords
airway, compromise; alpha(2) adrenergic agonist, dexmedetomidine; morbid obesity, sleep apnea; respiration, depression; surgery, trachea resection
Categories
Ask authors/readers for more resources
We present a case of respiratory distress in a morbidly obese woman, which was complicated by a severe tracheal stenosis of the third to sixth cartilage. She had a history of sleep apnea and could only breathe sitting upright. An anesthetic, technique using dexmedetomidine was selected because of its properties of anxiolysis and sedation, with lack of respiratory depression. No intraoperative or postoperative opioids were required. Dexmedetomidine in high doses offers another approach to managing the patient with a compromised airway. Opioids were avoided in this patient, who was at major risk of postoperative respiratory depression and sleep apnea. (c) 2006 Elsevier Inc. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available