Fiberoptic intubation during remifentanil propofol sedation

摘要: Objective Fiberoptic intubation for the management of difficult airway is usually achieved with patient under light sedation. The goal present study was to evaluate combination propofol and remifentanil sedation during fiberoptic intubation. Methods Plans were made use in 40 patients predictably airways. After topical anaesthesia pharynx lidocaine, oxygen administered via nasal cannula. A capnograph attached determine adequacy ventilation an infusion (0.05 microgram/kg/min) (2 mg/kg/h) started. first signs sedation, carried out. depth guided by clinical observation capnographic data dose adjusted as necessary. Results All patients, including some very severe anomalies, uneventfully intubated using regimen we have described. Nasal capnography it possible monitor all bronchoscopy onset hypoventilation recognized appropriately treated adjusting narcotic dose. No subject became hypoxic or hypercarbic procedure. changes blood pressure heart rate exceeded 30% range only one (a 37% increase). Sedation rated good 35 patients. Coughing occurred 5 37 out had no recall that occurred. Conclusion Our shown be a safe Monitoring arterial saturation pulse oximetry provided sufficient safety.