دورية أكاديمية
أعرض في EDS

Efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for awake fibreoptic intubation.

التفاصيل البيبلوغرافية
العنوان: Efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for awake fibreoptic intubation.
المؤلفون: Vasu BK; Department of Anaesthesiology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India., Rajan S; Department of Anaesthesiology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India., Paul J; Department of Anaesthesiology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India., Kumar L; Department of Anaesthesiology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India.
المصدر: Indian journal of anaesthesia [Indian J Anaesth] 2017 Aug; Vol. 61 (8), pp. 661-666.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Country of Publication: India NLM ID: 0013243 Publication Model: Print Cited Medium: Print ISSN: 0019-5049 (Print) Linking ISSN: 00195049 NLM ISO Abbreviation: Indian J Anaesth Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Mumbai : Medknow
Original Publication: Varanasi : A. Lal on behalf of The Indian Society Of Anaesthetists
مستخلص: Background and Aims: Successful awake fibreoptic intubation (AFOI) depends on adequate topical anaesthesia of the airway. We aimed to compare efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for AFOI.
Methods: It was a prospective, randomised controlled study of 33 patients with the American Society of Anesthesiologists' physical status 1-3 with anticipated difficult airway requiring AFOI. The primary objective was to compare the patient comfort after topical anaesthesia of the airway using atomiser with transtracheal injection of the local anaesthetic agent for AFOI in patients with anticipated difficult airway. The secondary objectives were to compare the ease of intubation, time required to intubate and the haemodynamic changes during intubation. After topical anaesthesia of nostrils, patients in Group T received transtracheal injection of 4 ml of 4% lignocaine whereas Group A patients received 4-5mL of 4% atomised lignocaine using DeVilbiss atomiser before AFOI. Patient comfort assessed objectively by the anaesthetic assistant during the procedure, ease of intubation assessed using cough and gag reflex score, time taken to intubate and the haemodynamic changes during the procedure were compared.
Results: Ease of intubation, patient comfort and the time taken to intubate were significantly better in Group T patients, with P = 0.001, 0.009 and 0.019, respectively, compared with the patients in Group A. There were no significant changes in haemodynamic parameters.
Conclusion: Topical anaesthesia by transtracheal injection in patients with anticipated difficult airway made AFOI easier and faster with better patient comfort compared to atomiser with no clinically significant untoward side effects.
Competing Interests: There are no conflicts of interest.
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فهرسة مساهمة: Keywords: Atomisation; awake fibreoptic intubation; local anaesthetic; patient comfort; transtracheal
تواريخ الأحداث: Date Created: 20170912 Latest Revision: 20201001
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5579857
DOI: 10.4103/ija.IJA_249_17
PMID: 28890562
قاعدة البيانات: MEDLINE
الوصف
تدمد:0019-5049
DOI:10.4103/ija.IJA_249_17