Anesthesia for tracheostomy for huge maxillofacial tumor
SJA-Saudi Journal of Anaesthesia. 2014; 8 (1): 124-127
em Inglês
| IMEMR
| ID: emr-138071
ABSTRACT
Providing sedation for patients with compromised upper airway is challenging. A 19-year-old female patient with huge maxillofacial tumor invading the whole pharynx scheduled for elective tracheostomy under local anesthesia due to compromised airway. The patient had gastrostomy tube for feeding. Venous cannulation was totally refused by the patient after repeated trials for exhausted sclerosed veins. Pre-operative mixture of dexmedetomidine with ketamine was administered through the gastrostomy tube with eutectic mixture of local anesthetics cream application over the planned tracheostomy site. The patient was sedated with eye opening to command. Local infiltration followed by tracheostomy was performed without patient complaints or recall of operative events
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Cirurgia Bucal
/
Neoplasias Faciais
/
Traqueostomia
/
Gastrostomia
/
Neoplasias Maxilares
/
Dexmedetomidina
/
Sedação Profunda
/
Manuseio das Vias Aéreas
/
Ketamina
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Saudi J. Anaesth.
Ano de publicação:
2014
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