Fatal pulmonary aspiration during balanced sedation with dexmedetomidine and midazolam: A case report
Anesthesia and Pain Medicine
;
: 236-240, 2019.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Insuficiência Respiratória
/
Midazolam
/
Sedação Consciente
/
Dexmedetomidina
/
Fêmur
/
Aspiração Respiratória de Conteúdos Gástricos
/
Hemodinâmica
/
Raquianestesia
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2019
Tipo de documento:
Artigo
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