Document Detail

Difficult airway management in a patient with severe aortic stenosis, coronary artery disease, and heart failure.
MedLine Citation:
PMID:  11943531     Owner:  NLM     Status:  MEDLINE    
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.
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    
Department of Anaesthesiology and Intensive Care Medicine, Evangelisches Krankenhaus Oberhausen - EKO, Germany.
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MeSH Terms
Aortic Valve Stenosis / complications*,  surgery
Clonidine / administration & dosage
Conscious Sedation
Coronary Disease / complications*,  surgery
Heart Failure / complications*
Hemodynamics / drug effects
Intubation, Intratracheal / methods*
Middle Aged
Temporomandibular Joint Disorders / complications*
Tooth Extraction / adverse effects
Reg. No./Substance:

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