Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Department of Anesthesiology, Rutgers University, New Jersey Medical School, New Jersey, United States of America
Case Series
Asleep Flexible Bronchoscopic Intubation with Remimazolam Sedation for Difficult Airway Management: A Case Series
Author(s): Cynthia W Tan*, Nidhi R Patel, Esther Y Masilamony, Daniel T Rodriguez Correa, Jean D Eloy and Alex Y Bekker
Flexible Bronchoscopic Intubation (FBI) is the accepted standard for managing difficult airways. Sedation is
frequently used during awake intubation to make the procedure tolerable. However, this technique has
complications, including respiratory depression, hypoxemia, aspiration and airway trauma. Asleep FBI is an
alternative approach. Remimazolam, an ultra-short-acting benzodiazepine, is emerging as a suitable drug for FBI of
deeply sedated patients with spontaneous breathing. It has several desirable qualities, including rapid onset and
offset, easily titratable sedation levels, anxiolysis and hemodynamic stability. We present three successful cases of
asleep FBI for patients with difficult airways using Remimazolam as the primary sedative... View More»
DOI:
10.35248/2155-6148.23.14.1113