Dexmedetomidine in the Management of Awake Fiberoptic Intubation
Aniello Alfieri1, *, Maria B. Passavanti1, Sveva Di Franco1, Pasquale Sansone1, Paola Vosa2, Francesco Coppolino1, Marco Fiore1, Caterina Aurilio1, Maria C. Pace1, Vincenzo Pota1
Identifiers and Pagination:Year: 2019
First Page: 1
Last Page: 5
Publisher Id: TOATJ-13-1
Article History:Received Date: 14/1/2019
Revision Received Date: 10/03/2019
Acceptance Date: 10/03/2019
Electronic publication date: 28/03/2019
Collection year: 2019
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Awake Fibreoptic Intubation (AFOI) is, nowadays, the gold standard in predicted difficult airway management. Numerous practice guidelines have been developed to assist clinicians facing with a difficult airway. If conducted without sedation, it is common that this procedure may lead to high patient discomfort and severe hemodynamic responses. Sedation is frequently used to make the process more tolerable to patients even if it is not always easy to strike a balance between patient comfort, safety, co-operation, and good intubating conditions. In the last years, many drugs and drug combinations have been described. This minireview aims to discuss the evidence supporting the use of Dexmedetomidine (DEX) in the AFOI management.