title: Dexmedetomidine and fentanyl combination for procedural sedation in a case of Duchenne muscular dystrophy.
abstract: Duchenne muscular dystrophy, an X-linked disorder characterized by progressive muscle weakness, is the most common muscular dystrophy among children leading to death before the end of third decade. Anesthesia in such patients pose a great challenge due to various complications associated with it. The dreaded metabolic and clinical complications occur due to various inhalational anesthetics and succinylcholine in this subset of patients. We are reporting a child with diagnosed Duchenne muscular dystrophy who underwent excision of dentigerous cyst in oral cavity under procedural sedation with combination of dexmedetomidine and fentanyl and thus administration of general anesthesia was avoided.
authors.affiliation: Department of Anaesthesiology and Intensive Care, GianSagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Kulshrestha
authors.affiliation: Department of Anaesthesiology and Intensive Care, GianSagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Sukhminder Jit Singh
authors.initials: SJ
authors.lastname: Bajwa
authors.affiliation: Department of Anaesthesiology and Intensive Care, GianSagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Amarjit
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Oral and Maxillo-facial Surgery, Gian Sagar Dental College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Kapoor
keywords: Anesthesia; dexmedetomidine; duchenne muscular dystrophy; procedural sedation