Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 360-362, August 2010

Dexmedetomidine sedation for awake tracheotomy: case report and literature review

  • Marianne D. David, MD (Senior Anesthesiology Resident)
    • ,
  • Lorenzo De Marchi, MD (Clinical Instructor)

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Anesthesia, Georgetown University Hospital, Washington, DC 20007, USA. Tel.: +1 202 444 8640; fax: +1 202 444 8854.

Department of Anesthesia, Georgetown University Hospital, Washington, DC 20007, USA

Received 2 July 2008; received in revised form 27 March 2009; accepted 27 April 2009.

Abstract 

The safe administration of conscious sedation in a patient with a critical airway who underwent awake tracheotomy using dexmedetomidine, a selective alpha2-agonist with sympatholytic, anxiolytic, analgesic, and sedative properties, is presented. Unlike other commonly used sedative agents, dexmedetomidine provided adequate sedation with minimal respiratory depression.

Keywords: Awake tracheotomy, Conscious sedation, Dexmedetomidine

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PII: S0952-8180(10)00129-7

doi:10.1016/j.jclinane.2009.04.008

Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 360-362, August 2010

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