Year: 2025
Type: article
Abstract: Suspension laryngoscopy is a valuable tool for the diagnosis and treatment of airway pathologies such as subglottic stenosis in neonates. Propofol and remifentanil sedation are commonly used drugs for this purpose, but there is still concern about their dose-dependent respiratory depression and safety profile in neonates. This clinical case-based discussion presents a premature neonate with respiratory failure and stridor, scheduled for a suspension laryngoscopy. An anesthetic plan using sevoflurane, ketamine, and dexmedetomidine was chosen. This combination preserves airway tone and minimizes the risk of respiratory depression and desaturation, making it an ideal choice for neonates with airway abnormalities.
Source: Cureus
DOI: 10.7759/cureus.98631
Authors: Beatriz Maio, Marisa Silva
Institutions: Hospital da Luz, Hospital de Dona Estefânia
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4417092003