Fatal pulmonary aspiration during balanced sedation with dexmedetomidine and midazolam - A case report

Recently, balanced sedation has commonly been used during procedural sedation. Dexmedetomidine is known for its relative safety to cause “conscious sedation” with little respiratory depression but has some limitations such as frequent awakening and hemodynamic instability during surgery. To facilita...

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Bibliographic Details
Published in:Anesthesia and pain medicine (Korean society of anesthesiologists) 2019, 14(2), , pp.236-240
Main Authors: Park, Jeong Heon, Kim, Sang Yun, Kwon, Min A
Format: Article
Language:English
Subjects:
마취과학
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Summary:Recently, balanced sedation has commonly been used during procedural sedation. Dexmedetomidine is known for its relative safety to cause “conscious sedation” with little respiratory depression but has some limitations such as frequent awakening and hemodynamic instability during surgery. To facilitate sedation, a small dose of midazolam can be co-administered rather than escalating the dose of dexmedetomidine, especially in elderly patient. Despite the respiratory safety profile of dexmedetomidine, the overall safety of co-administration has not been clarified. We describe the first case of fatal pulmonary aspiration that developed in an elderly patient during balanced sedation with spinal anesthesia for elective femur fracture surgery. KCI Citation Count: 0
ISSN:1975-5171
2383-7977
DOI:10.17085/apm.2019.14.2.236