右美托咪定在纤维支气管镜引导的清醒插管中的应用

Application of Dexmedetomidine in Conscious Intubation Guided by Fiber Bronchoscope

对于一些需要清醒气管插管的患者,纤维支气管镜是个不错的选择,但是完全清醒的情况下进行气管插管,往往会导致血流动力学的剧烈波动,而且患者配合性差。右美托咪定作为一种高选择性的α肾上腺能受体激动剂,有着镇静、镇痛作用,从而减轻患者清醒气管插管的不良反应。

For some patients who require a conscious endotracheal intubation, fiber bronchoscope is a good choice, but under the condition of fully conscious endotracheal intubation, it can often lead to sharp fluctuations in hemodynamics, and patients with poor coordination. Dexmedetomidine, as a highly selective α adrenergic receptor agonist, has sedative and analgesic effects, thus reducing the adverse reactions of conscious endotracheal intubation in patients.