Use of dexmedetomidine and low-dose ketamine as conscious sedation for fibreoptic bronchoscopy intubation for temporomandibular joint ankylosis secondary to an unsuspecting childhood trauma: a case report

Jie Cong Yeoh, Ruwaida Bt Isa, Intan Zarina Fakir Mohamed
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Abstract

Airway management in the paediatric population is known to be challenging due to its unique anatomical and physiological differences. Maxillofacial injuries further complicate airway management. To date, there is limited evidence to support the technique of airway management and the choice of drugs used in the paediatric population. This case report aims to describe the technique of conscious sedation using dexmedetomidine and ketamine to perform an awake fibreoptic intubation in the case of an 8-year-old boy with limited mouth opening due to a temporo-mandibular joint ankylosis secondary to childhood trauma. The endpoint of this case report showed that this technique proved effective with a good margin of safety in this paediatric patient with an airway concern. Further studies are needed to validate this observation.
使用右美托咪定和小剂量氯胺酮作为纤维支气管镜插管治疗颞下颌关节强直的意识镇静剂:病例报告
众所周知,儿科患者的气道管理因其独特的解剖和生理差异而极具挑战性。颌面部损伤使气道管理更加复杂。迄今为止,支持儿科气道管理技术和药物选择的证据有限。本病例报告旨在描述使用右美托咪定和氯胺酮进行有意识镇静,为一名因儿童外伤导致颞下颌关节强直而张口受限的 8 岁男孩进行清醒纤支镜插管的技术。本病例报告的最终结果表明,这项技术对这名有气道问题的儿科患者非常有效,而且安全系数高。还需要进一步的研究来验证这一观察结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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