Lignocaine toxicity from topical anaesthesia of airway during awake fibreoptic intubation

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Fibreoptic awake intubation--a method of topical anaesthesia and orotracheal intubation.

Three cases of trismus caused by oropharyngeal sepsis are described where fibreoptic-assisted awake intubation using an oral airway intubator and nebulised lidocaine was safely and successfully achieved.

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A young adult was admitted to a casualty department with severe burns sustained in a motor vehicle fire. His airway was initially patient, but in grave danger of obstruction due to inhalational injury. Conventional methods of airway management were unable to guarantee a patent airway and a novel approach is described.

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

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 diffic...

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Topical anaesthesia of the nasal mucosa for fibreoptic airway endoscopy.

We have compared four methods of topical anaesthesia of the nostril for fibreoptic airway endoscopy in a randomized study with 31 unpremedicated volunteers, each serving as his or her own control. Lignocaine spray, EMLA cream, three cotton swabs soaked in 4% lignocaine solution, or 2% lignocaine gel was applied in a nostril for 3 min. Application of lignocaine spray was rated as the most unplea...

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Anaesthesia for awake intubation

The first surgical choledochoscope was introduced in 1965. Murphy subsequently used this instrument to perform the first ever fibre-optic intubation in 1967. The fibre-optic bronchoscope has now become an essential anaesthetic instrument. Awake intubation of the airway can be achieved safely with a variety of techniques using topical analgesia, regional nerve blockade, with or without sedation....

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ژورنال

عنوان ژورنال: Journal of Neuroanaesthesiology and Critical Care

سال: 2014

ISSN: 2348-0548,2348-926X

DOI: 10.4103/2348-0548.130407