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Fatal pulmonary aspiration during balanced sedation with dexmedetomidine and midazolam: A case report
Anesthesia and Pain Medicine ; : 236-240, 2019.
Article in English | WPRIM | ID: wpr-762244
ABSTRACT
Recently, balanced sedation has commonly been used during procedural sedation. Dexmedetomidine is known for its relative safety to cause “conscious sedation” with little respiratory depression but has some limitations such as frequent awakening and hemodynamic instability during surgery. To facilitate sedation, a small dose of midazolam can be co-administered rather than escalating the dose of dexmedetomidine, especially in elderly patient. Despite the respiratory safety profile of dexmedetomidine, the overall safety of co-administration has not been clarified. We describe the first case of fatal pulmonary aspiration that developed in an elderly patient during balanced sedation with spinal anesthesia for elective femur fracture surgery.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Respiratory Insufficiency / Midazolam / Conscious Sedation / Dexmedetomidine / Femur / Respiratory Aspiration of Gastric Contents / Hemodynamics / Anesthesia, Spinal Limits: Aged / Humans Language: English Journal: Anesthesia and Pain Medicine Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Respiratory Insufficiency / Midazolam / Conscious Sedation / Dexmedetomidine / Femur / Respiratory Aspiration of Gastric Contents / Hemodynamics / Anesthesia, Spinal Limits: Aged / Humans Language: English Journal: Anesthesia and Pain Medicine Year: 2019 Type: Article