Fiberoptic-guided nasotracheal intubation under conscious sedation with dexmedetomidine on a patient with giant ameloblastoma scheduled for mandibulectomy
- Author:
Susantio Sersia Gillianthi
;
Policarpio Josefina T.
;
Madarang Michael Ronald
- Publication Type:Case Reports
- MeSH:
Human;
Male;
Middle Aged;
AMELOBLASTOMA;
ODONTOGENIC TUMORS;
DEXMEDETOMIDINE
- From:
Philippine Journal of Anesthesiology
2008;20(1):30-37
- CountryPhilippines
- Language:English
-
Abstract:
This is a case of a 54 year old ASA III mle who underwent extirpation of recurrent multiseptated mandibular ameloblastoma; with microvascular fibul free flap reconstruction. the extension of the huge mass into the floor of the mouth and anteriorly into the sub-metal area indicating probable difficult instrumentation during laryngoscopy, necessitated awake fiberoptic guided nasotracheal intubation using dexmedetomidine sedation. Anesthesia was maintained with oxigen- isoflurane at 0.8-1.5 volue percent, atracurium infusion at 0.2 mg/kg/ hour, fetanyl infusion at 1-2 mcg/kg/hour. Postoperatively, the patient remained intubated for 7 days.
