[Anesthesia induction for patients with cervical spinal disease].
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.
Takahashi
Hidemasa
H
Department of Anesthesiology, Metropolitan Bokutoh Hospital, Tokyo 130-8575.
Suzuki
Takeo
T
Onisi
Tatsuki
T
Senda
Mariko
M
Takada
Tomohiko
T
Ainoda
Keiko
K
Iizuka
Hirotaka
H
Tagawa
Kyouko
K
Onda
Masaharu
M
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
D006993:Hypnotics and Sedatives; D020927:Dexmedetomidine