caa a22 4500 445373822 CHVBK 20180317142956.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00540-011-1154-z doi (NATIONALLICENCE)springer-10.1007/s00540-011-1154-z Dexmedetomidine as sole agent for awake fiberoptic intubation in a patient with local anesthetic allergy [Elektronische Daten] [Maxime Madhere, David Vangura, Alik Saidov] A series of case reports acknowledges the efficacy of dexmedetomidine as a sole sedative for awake intubations in managing a critical airway. However, most case reports documented in the literature used topicalization of the oropharynx either via nebulized lidocaine or the spray-as-you-go technique with either 2% or 4% lidocaine spray to achieve successful intubation. The following case report presents an intensive care unit (ICU) patient with a critical airway who had a true documented allergy to local anesthetics. This case report demonstrates that dexmedetomidine appears to be useful for sedation during awake intubations in critical airways, without the need for airway topicalization. The ability of dexmedetomidine to act as a sedative, anxiolytic, analgesic, and antisialagogue without causing respiratory depression is promising to the field of anesthesiology. Additional studies are needed to elucidate its potential role as the sole agent for awake fiberoptic intubation. Japanese Society of Anesthesiologists, 2011 Dexmedetomidine nationallicence Awake fiberoptic intubation nationallicence Local anesthetic nationallicence Allergy nationallicence Madhere Maxime Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, 48202, Detroit, MI, USA aut Vangura David Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, 48202, Detroit, MI, USA aut Saidov Alik Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, 48202, Detroit, MI, USA aut Journal of Anesthesia Springer Japan 25/4(2011-08-01), 592-594 0913-8668 25:4<592 2011 25 540 https://doi.org/10.1007/s00540-011-1154-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1154-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Madhere Maxime Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Vangura David Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Saidov Alik Department of Anesthesiology, Henry Ford Hospital, 2799 West Grand Boulevard, 48202, Detroit, MI, USA aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/4(2011-08-01), 592-594 0913-8668 25:4<592 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer