Dexmedetomidine supplemented with local anesthesia for awake laryngoplasty

Abdelmalak, Basem; Gutenberg, Larina; Lorenz, Robert R.; Smith, Michael; Farag, Ehab; Doyle, D. John

doi:10.1016/j.jclinane.2008.11.009

« Previous Next »Journal of Clinical Anesthesia
Volume 21, Issue 6 , Pages 442-443, September 2009

Dexmedetomidine supplemented with local anesthesia for awake laryngoplasty

Basem Abdelmalak, MD (Staff Anesthesiologist)
- Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USA
- Corresponding author. Department of General Anesthesiology/E31, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195, USA. Tel.: +1 216 444 3746; fax: +1 216 444 2294.
Larina Gutenberg, DO (Resident)
- Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Robert R. Lorenz, MD (Staff Surgeon)
- Department of Otolaryngology-Head and Neck, Department of Otolaryngology, Cleveland Clinic, Cleveland, OH 44195, USA
Michael Smith, MD (Staff Anesthesiologist)
- Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Ehab Farag, MD (Staff Anesthesiologist)
- Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USA
D. John Doyle, MD, PhD (Staff Anesthesiologist)
- Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USA

Received 8 January 2008; received in revised form 31 October 2008; accepted 10 November 2008. published online 10 September 2009.

Abstract

Certain laryngeal procedures require a sedated patient who is responsive to allow for the assessment of vocalization. Dexmedetomidine as a single agent for sedation and anxiolysis for awake laryngoplasty in a patient with unilateral vocal fold paralysis is presented.

Keywords: Awake laryngoplasty, Dexmedetomidine, Otorhinolaryngologic surgery, Unilateral vocal fold paralysis