title: [Anesthesia induction for patients with cervical spinal disease].
abstract: BACKGROUND
  In the cases in which the flexibility of the patient's neck is limited, it is often difficult to achieve intubation. Fiberoptic intubation has been chosen for patients with arthroses. However, as it requires techniques, it has been difficult for inexperienced anesthesiologists.
  
  
  METHODS
  Awake induction using AirWay Scope was performed for 8 patients with cervical spinal diseases. Midazolam, propofol or dexmedetomidine is selected as a sedative drug.
  
  
  RESULTS
  Intubation was performed easily and safely without any complications in all cases. No patients had memories of intubation.
  
  
  CONCLUSIONS
  Awake intubation using AirWay Scope for patients with cervical spinal diseases is a safe and useful anesthesia method. As dexmedetomidine causes no respiratory depression and can expect cooperation from patients, it may give safe and efficient sedation in awake intubation cases.
authors.affiliation: Department of Anesthesiology, Metropolitan Bokutoh Hospital, Tokyo 130-8575.
authors.forename: Hidemasa
authors.initials: H
authors.lastname: Takahashi
authors.forename: Takeo
authors.initials: T
authors.lastname: Suzuki
authors.forename: Tatsuki
authors.initials: T
authors.lastname: Onisi
authors.forename: Mariko
authors.initials: M
authors.lastname: Senda
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Takada
authors.forename: Keiko
authors.initials: K
authors.lastname: Ainoda
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Iizuka
authors.forename: Kyouko
authors.initials: K
authors.lastname: Tagawa
authors.forename: Masaharu
authors.initials: M
authors.lastname: Onda
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000379:methods*; D002574:Cervical Vertebrae; D016292:Procedural Sedation / Q000379:methods*; D020927:Dexmedetomidine; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013122:Spinal Diseases; D055815:Young Adult
chemical_list: D006993:Hypnotics and Sedatives; D020927:Dexmedetomidine