Yonsei Med J.  2014 Mar;55(2):539-541.

Dexmedetomidine for Rigid Bronchoscopy in an Infant with Tracheal Web after Ventricular Septal Defect Patch Repair

• Lee JS
• Park SJ
• Min KT

Abstract

We report herein successful rigid bronchoscopy with preserved spontaneous breathing of a 54-day-old infant with tracheal web associated with previous ventricular septal defect (VSD) repair. We considered the use of dexmedetomidine in conjunction with intermittent ketamine from the following three clinical aspects. First, this infant was suffering from respiratory distress with chest retraction, the cause of which was not revealed by a computerized scan of the neck and chest. Second, the patient was scheduled for rigid bronchoscopy, which is accompanied by brief but strong stimulation. Third, this infant underwent congenital VSD heart repair approximately 1 month earlier.

Keyword

Bronchoscopy; dexmedetimidine; infant; tracheal web

MeSH Terms

Bronchoscopy*
Dexmedetomidine*
Heart
Heart Septal Defects, Ventricular*
Humans
Infant*
Ketamine
Neck
Respiration
Thorax
Dexmedetomidine
Ketamine

Figure

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  Fig. 1 Intraoperative blood pressure, heart rate, and SpO2 throughout the procedure.

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