| Dexmedetomidina
y propofol en microcirug�a lar�ngea compleja en
infantes |
|
Dexmedetomidine
and proprofol in complex microlaryngeal surgery in infants.
Quezado ZM, Groblewski JC, Gelfand HJ, Shah RK.
Department of Anesthesia and Surgical Services, NIH Clinical
Center, National Institutes of Health, 10 Center Drive, Bethesda,
MD 20892, USA. zquezado@nih.gov
Int J Pediatr Otorhinolaryngol. 2009 Sep;73(9):1311-2.
Epub 2009 Jun 24.
Abstract
We describe the case of an infant undergoing endoscopic repair of a
laryngeal cleft where the combination of dexmedetomidine and
propofol infusions was used as the anesthetic technique. With this
regimen, endotracheal intubation was unnecessary during the
perioperative period, the procedure lasted approximately 3h, and
the child recovered uneventfully. Historically, the techniques used
for microlaryngeal surgery involve the use of intermittent
endotracheal intubation and insufflation of halogenated anesthetics
to the oropharynx. Given the potential benefits of a technique that
obviates the need for endotracheal intubation during microlaryngeal
surgery and prevents insufflation of halogenated anesthetics in an
open environment, the combination of propofol and dexmedetomidine
should be considered as a viable and desirable anesthetic option
for infants undergoing complex microlaryngeal surgery
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