Anesthetic management of a child with complex facial fracture and difficult airway: case report using ketodex for tracheostomy
Gabriela Soares Piazza Dal Pont, Manuela Freire Caetano de Almeida, Fabrício Tavares Mendonça
Abstract
This study aimed to report the experience of electively handling the surgical airways of a pediatric patient with complex facial fractures, using a combination of ketamine and dexmedetomidine (DEX) for sedation, following the guidelines from the American Society of Anesthesiologists. This is a case report of a 9-year-old patient with complex facial fractures and difficult airway predictors. An elective tracheostomy was opted for under sedation with ketamine and DEX, preserving the breathing drive. After stabilization, anesthesia was made with propofol, fentanyl, and rocuronium, allowing oral and maxillofacial surgery to happen without complications.
Keywords
References
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Submitted date:
01/29/2025
Accepted date:
12/05/2025
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