Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection

Hyo Jin Kim, Solyi Lee, Hak Moo Cho, Kyung Woo Kim, Hey Ran Choi, Si Ra Bang Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, KoreaCorrespondence: Si Ra BangDepartment of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, KoreaTel...

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Main Authors: Kim HJ, Lee S, Cho HM, Kim KW, Choi HR, Bang SR
Format: Article
Language:English
Published: Dove Medical Press 2020-12-01
Series:International Medical Case Reports Journal
Subjects:
Online Access:https://www.dovepress.com/airway-management-with-dexmedetomidine-and-high-flow-nasal-cannula-in--peer-reviewed-article-IMCRJ
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author Kim HJ
Lee S
Cho HM
Kim KW
Choi HR
Bang SR
author_facet Kim HJ
Lee S
Cho HM
Kim KW
Choi HR
Bang SR
author_sort Kim HJ
collection DOAJ
description Hyo Jin Kim, Solyi Lee, Hak Moo Cho, Kyung Woo Kim, Hey Ran Choi, Si Ra Bang Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, KoreaCorrespondence: Si Ra BangDepartment of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, KoreaTel +82-2-2270-0095Fax +82-2-2270-0094Email sira1045@naver.comAbstract: Retropharyngeal deep neck infection sometimes necessitates securing of the airway and surgery for drainage. Airway management in patients with deep neck infection is challenging for anesthesiologists. A 56-year-old woman diagnosed with deep neck infection was admitted for incision and drainage. In the first operation for incision and drainage, indirect videolaryngoscope was utilized to confirm the airway before tracheal intubation, and the patient was intubated successfully. In the second operation for wound closure, dexmedetomidine administration and high-flow nasal cannulation were used during monitored anesthesia care throughout a subsequent procedure. The outcome in the present case suggests that indirect videolaryngoscope, dexmedetomidine, and high-flow nasal cannula can facilitate effective management during surgery in patients with retropharyngeal deep neck space infection.Keywords: dexmedetomidine, high-flow nasal cannula, indirect laryngoscope, neck infection
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spelling doaj.art-c4b01b04e66f476aa145da4a613e40b92022-12-21T22:49:32ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2020-12-01Volume 1367968359910Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck InfectionKim HJLee SCho HMKim KWChoi HRBang SRHyo Jin Kim, Solyi Lee, Hak Moo Cho, Kyung Woo Kim, Hey Ran Choi, Si Ra Bang Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, KoreaCorrespondence: Si Ra BangDepartment of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, KoreaTel +82-2-2270-0095Fax +82-2-2270-0094Email sira1045@naver.comAbstract: Retropharyngeal deep neck infection sometimes necessitates securing of the airway and surgery for drainage. Airway management in patients with deep neck infection is challenging for anesthesiologists. A 56-year-old woman diagnosed with deep neck infection was admitted for incision and drainage. In the first operation for incision and drainage, indirect videolaryngoscope was utilized to confirm the airway before tracheal intubation, and the patient was intubated successfully. In the second operation for wound closure, dexmedetomidine administration and high-flow nasal cannulation were used during monitored anesthesia care throughout a subsequent procedure. The outcome in the present case suggests that indirect videolaryngoscope, dexmedetomidine, and high-flow nasal cannula can facilitate effective management during surgery in patients with retropharyngeal deep neck space infection.Keywords: dexmedetomidine, high-flow nasal cannula, indirect laryngoscope, neck infectionhttps://www.dovepress.com/airway-management-with-dexmedetomidine-and-high-flow-nasal-cannula-in--peer-reviewed-article-IMCRJdexmedetomidinehigh-flow nasal cannulaindirect laryngoscopeneck infection
spellingShingle Kim HJ
Lee S
Cho HM
Kim KW
Choi HR
Bang SR
Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection
International Medical Case Reports Journal
dexmedetomidine
high-flow nasal cannula
indirect laryngoscope
neck infection
title Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection
title_full Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection
title_fullStr Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection
title_full_unstemmed Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection
title_short Airway Management with Dexmedetomidine and High-Flow Nasal Cannula in a Patient with Deep Neck Infection
title_sort airway management with dexmedetomidine and high flow nasal cannula in a patient with deep neck infection
topic dexmedetomidine
high-flow nasal cannula
indirect laryngoscope
neck infection
url https://www.dovepress.com/airway-management-with-dexmedetomidine-and-high-flow-nasal-cannula-in--peer-reviewed-article-IMCRJ
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AT chohm airwaymanagementwithdexmedetomidineandhighflownasalcannulainapatientwithdeepneckinfection
AT kimkw airwaymanagementwithdexmedetomidineandhighflownasalcannulainapatientwithdeepneckinfection
AT choihr airwaymanagementwithdexmedetomidineandhighflownasalcannulainapatientwithdeepneckinfection
AT bangsr airwaymanagementwithdexmedetomidineandhighflownasalcannulainapatientwithdeepneckinfection