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

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 t...

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Bibliographic Details
Published inInternational medical case reports journal Vol. 13; pp. 679 - 683
Main Authors Kim, Hyo Jin, Lee, Solyi, Cho, Hak Moo, Kim, Kyung Woo, Choi, Hey Ran, Bang, Si Ra
Format Journal Article
LanguageEnglish
Published Macclesfield Dove Medical Press Limited 31.12.2020
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects
Abscesses
Airway management
Blood pressure
Case Report
Case reports
Dexmedetomidine
Epiglottis
Fentanyl
General anesthesia
Health aspects
high-flow nasal cannula
indirect laryngoscope
Infection
Infections
Intubation
Medical personnel
Neck
neck infection
Oxygen saturation
Pulse oximetry
Remifentanil
Respiration
Surgeons
Surgery
Ventilators
Vital signs
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Summary: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
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S276018