Sevoflurane as a Rescue Agent for Difficult Intubation in Cardiac Surgical Patients
Usha Kiran*, Ashok K.**, Shivani Aggarwal**
*Professor and Head **Senior Resident, Department of Cardiothoracic Anaesthesia, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India.
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Managing difficult airway in a patient undergoing cardiac surgery is critical due to balance in optimal hemodynamics and depth of anaesthesia. Sevoflurane has the property of rapid recovery from anaesthesia. We had two patients undergoing cardiac surgery with restricted mouth opening and anticipated difficult airway. First patient was planned for pulmonary valve replacement for severe pulmonary regurgitation and second patient for bentall procedure for severe aortic stenosis with aortic root dilatation. Both the patients induced with increments of sevoflurane and successfully intubated without apnea or complications. We consider sevoflurane is the agent of choice for induction in cardiac surgical patients with difficult airway. Sevoflurane has advantages of maintaining stable hemodynamics and less chances of apnea.
Corresponding Author : Ashok Kumar Senior Resident, Cardiac Anaesthesia Office, 7th floor, C.N. Center, Department of Cardiothoracic Anaesthesia, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India.
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