| Difficult airway management in a patient with severe aortic stenosis, coronary artery disease, and heart failure. | |
| | |
MedLine Citation:
|
PMID: 11943531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report a patient with aortic stenosis, coronary artery disease, and heart failure in whom awake fiberoptic intubation was performed because the patient's mouth opening was insufficient as a result of disc prolapse of the mandibular joint. We planned to perform this procedure during conscious sedation, spontaneous respiration, and with stable hemodynamic parameters (no tachycardia, hypertension, or hypotension). After oral premedication with dikaliumclorazepate, the patient received clonidine. Fiberoptic intubation was performed while the patient breathed spontaneously. Throughout the procedure, no adverse events occurred. Clonidine is a valuable adjunct for conscious sedation and can be used safely for sympathicolysis, even in patients with aortic stenosis. |
| | |
Authors:
|
Peter J Kulka; Michael Tryba; Michael Zenz |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of clinical anesthesia Volume: 14 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 2002 Mar |
Date Detail:
|
Created Date: 2002-04-10 Completed Date: 2002-06-14 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
|
Languages: eng Pagination: 150-3 Citation Subset: IM |
Affiliation:
|
Department of Anaesthesiology and Intensive Care Medicine, Evangelisches Krankenhaus Oberhausen - EKO, Germany. Peter.Kulka@ruhr-uni-bochum.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aortic Valve Stenosis
/
complications*,
surgery Clonidine / administration & dosage Conscious Sedation Coronary Disease / complications*, surgery Heart Failure / complications* Hemodynamics / drug effects Humans Intubation, Intratracheal / methods* Male Middle Aged Temporomandibular Joint Disorders / complications* Tooth Extraction / adverse effects |
| Chemical | |
Reg. No./Substance:
|
4205-90-7/Clonidine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The effect of fentanyl on hemodynamic and bispectral index changes during anesthesia induction with ...
Next Document: Airway complication following functional endoscopic sinus surgery.