Conscious Sedation for Awake Fibreoptic Intubation – How Conscious and Cautious should we be?

Authors

  •   Chaitanya Kamat Department of Anaesthesiology, JN Medical College and KLEPK Hospital and MRC, Belagavi – 590010, Karnataka

DOI:

https://doi.org/10.4103/kaj/2019/v17i3-4/164161

Abstract

No Abstract.

Downloads

Download data is not yet available.

Downloads

Published

2019-12-08

How to Cite

Kamat, C. (2019). Conscious Sedation for Awake Fibreoptic Intubation – How Conscious and Cautious should we be?. Karnataka Anaesthesia Journal, 17(3-4), 51–54. https://doi.org/10.4103/kaj/2019/v17i3-4/164161

References

Szmuk P, Ezri T, Evron S, Roth Y, Katz J. A brief history of tracheostomy and tracheal intubation from the bronze age to the space age. Intensive care Med. 2008; 34:222–8. PMid: 17999050. https://doi.org/10.1007/s00134-007- 0931-5.

Ramkumar V. Preparation of the patient and the airway for Awake intubation. Indian J Anaesth. 2011; 55(5):442-447. PMid: 22174458 PMCid: PMC3237141. https://doi.org/10.4103/0019-5049.89863.

Leslie D. BSc (Hons) MBBCh (Hons) FRCA, Mark Stacey, MB MChir FRCA ILTHE MSc (Med Ed), Awake intubation, Continuing Education in Anaesthesia Critical Care and Pain. 2015 Apr; 15(2):64–7. https://doi.org/10.1093/ bjaceaccp/mku015.

Ahmad I, El-Boghdadly K, Bhagrath R, Hodzovic I, McNarry AF, Mir F, O’Sullivan EP, Patel A, Stacey M, Vaughan D. Difficult Airway Society guidelines for Awake Tracheal Intubation (ATI) in adults. Anaesthesia. 2020 Apr; 75(4):509–28. PMid: 31729018 PMCid: PMC7078877. https://doi.org/10.1111/anae.14904.

Hu R, Liu JX, Jiang H. Dexmedetomidine versus remifentanil sedation during Awake Fiberoptic Nasotracheal Intubation: A double-blinded randomized controlled trial. J Anesth. 2013; 27:211–7. PMid: 23073729. https://doi. org/10.1007/s00540-012-1499-y.

Rosenstock CV, Thøgersen B, Afshari A, Christensen AL, Eriksen C, Gätke MR. Awake fibreoptic or awake video laryngoscopic tracheal intubation in patients with anticipated difficult airway management - a randomized clinical trial. Anesthesiology. 2012; 116:1210-6. PMid: 22487805. https://doi.org/10.1097/ALN.0b013e318254d085.

Reves JG, Glass P, Lubarsky DA. Intravenous anesthetics. Miller RD. Miller’s anesthesia. 7th ed. Philadelphia:Churchill Livingstone; 2010; 719-68. https://doi.org/10.1016/B978-0-443-06959-8.00026-1.

Kevin DJ, Mridula RR. Conscious sedation for Awake Fibreoptic Intubation: A review of the literature. Can J Anesth. 2013; 60:584–99. PMid: 23512191. https://doi. org/10.1007/s12630-013-9915-9.

Sudheer P, Stacey MR. Anaesthesia for Awake Intubation. BJA CEPD Rev. 2003; 3:120–3. https://doi.org/10.1093/bjacepd/mkg120.

Johnston KD, Rai MR. Conscious sedation for Awake Fibreoptic Intubation: A review of the literature. Can J Anaesth. 2013; 60:584–99. PMid: 23512191. https://doi. org/10.1007/s12630-013-9915-9.

Eugenio DMH, Mirium SM, et al. Proposal for Awake Fiberoptic Intubation in adult with Dexmedetomidine. SOJ Anesthesiol Pain Manag. 2017; 4(2):1–7. https://doi.org/10.15226/2374-684X/4/2/00145.

Jose RJ, Shaefi S, Navani N. Sedation for flexible bronchoscopy: Current and emerging evidence. Eur Respir Rev. 2013; 22:106–16. PMid: 23728864. https://doi.org/10.1183/09059180.00006412.

Bano N, Singh P, Singh D, Prabhakar T. A comparative study of Midazolam alone or in combination with Dexmedetomidine or Clonidine for Awake Fiberoptic Intubation. Anesth Essays Res. 2019; 13(3):539–46. PMid: 31602075 PMCid: PMC6775834. https://doi.org/10.4103/aer.AER_64_19.

Sai-Ying Wang, Yang Mei, Hui Sheng. Tramadol combined with Fentanyl in Awake Endotracheal Intubation. Journal of Thoracic Disease. 2013; 5:3.

Rai MR, Parry TM, Dombrovskis A, Warner OJ. Remifentanil target-controlled infusion vs. propofol target- controlled infusion for conscious sedation for Awake Fibreoptic Intubation: A double-blinded randomized controlled trial. Br J Anaesth. 2008 Jan; 100(1):125–30. PMid: 18037667. https://doi.org/10.1093/bja/aem279.

Cafiero T, Esposito F, Fraioli G, et al. Remifentanil-TCI and propofol-TCI for conscious sedation during fibreoptic intubation in the acromegalic patient. Eur J Anaesthesiol. 2008; 25:670–4. PMid: 18400142. https://doi.org/10.1017/ S0265021508004195.

Tsai CJ, Chu KS, Chen TI, Lu DV, Wang HM, Lu IC. A comparison of the effectiveness of dexmedetomidine versus propofol target-controlled infusion for sedation during fibreoptic nasotracheal intubation. Anaesthesia. 2010 Mar; 65(3):254–9. PMid: 20105150. https://doi.org/10.1111/j.1365-2044.2009.06226.x.

Chalam KS. A comparative study of intravenous dexmedetomidine- versus Propofol-based sedation for Awake Fiberoptic Intubation along with airway blocks in cervical discectomy patients. Karnataka Anaesth J. 2015; 1:21–7. https://doi.org/10.4103/2394-6954.149716.

Sharma J, Purohit S, Bhatia S, Kalra P, Sharma M, Meena R. Awake orotracheal fibre-optic intubation: Comparison of two different doses of dexmedetomidine on intubation conditions in patients undergoing cervical spine surgery. Indian J Anaesth. 2017; 61:811–7. PMid: 29242653 PMCid: PMC5664886. https://doi.org/10.4103/ija.IJA_169_17.

Cao JP, He Q, Shi XY. Dexmedetomidine for the management of Awake Fibreoptic Intubation. Cochrane Database Syst Rev. 2014; 1.

Hemavathi, Prasad CGS, Dongare PA, Manjunatha C, Nataraj MS, Mohan Kumar RM. Comparison of intubation conditions between dexmedetomidine and propofol for Awake Fiberoptic Bronchoscopy: A randomised control study. Karnataka Anaesthesia Journal. 20. Https://doi.org//kaj/20//.

Shen SL, Xie Y, Wang WY, Hu SF, Zhang YL. Comparison of dexmedetomidine and sufentanil for conscious sedation in patients undergoing Awake Fibreoptic Nasotracheal Intubation: A prospective, randomized and controlled clinical trial. Clin Respir J. 2014; 8:100–7. PMid: 23906186. https://doi.org/10.1111/crj.12045