Nebulisation Versus Spray-as-You-Go Airway Topical Anaesthesia in Patients with Temporomandibular Joint Ankylosis using 2?% Lignocaine

详细信息    查看全文

• 作者：Satish Dhasmana ; Vibha Singh ; Uma Shankar Pal
• 关键词：Nebulisation ; Spray ; as ; you ; go ; Airway topical anaesthesia ; Awake fiberoptic intubation (AFOI)
• 刊名：Journal of Maxillofacial and Oral Surgery
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：14
• 期：2
• 页码：398-402
• 全文大小：338 KB
• 参考文献：1.Colmenero C, Esteban R, Albarino AR, Colmenero B (1991) Sleep apnoea syndrome associated with maxillofacial abnormalities. J Laryngol Otol 105(2):94-00View Article PubMed
  2.Dhasmana S, Singh V, Pal US, Mohammad S (2009) Temporomandibular joint interpositional gap arthroplasty under intravenous (IV) conscious sedation. J Maxillofac Oral Surg 8(4):372-74View Article PubMed Central PubMed
  3.Caplan RA, Benumof JL, Berry FA, Blitt CD, Bode RH, Cheney FW, Connis RT, Guidry OF, Nickinovich DG, Ovassapian A (2003) Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 98:1269-277View Article
  4.Xue FS, Liu HP, He N, Xu YC, Yang QY, Liao X, Xu XZ, Guo XL, Zhang YM (2009) Spray-as-you-go airway topical anesthesia in patients with a difficult airway: a randomized, double-blind comparison of 2% and 4% lidocaine. Anesth Analg 108(2):536-43View Article PubMed
  5.Simmons ST, Schleich AR (2002) Airway regional anesthesia for awake fiberoptic intubation. Reg Anesth Pain Med 27:180-92PubMed
  6.Stackhouse RA (2002) Fiberoptic airway management. Anesthesiol Clin N Am 20:933-51View Article
  7.Sutherland AD, Williams RT (1986) Cardiovascular responses and lidocaine absorption in fiberoptic-assisted awake intubation. Anesth Analg 65:389-91View Article PubMed
  8.Martin KM, Larsen PD, Segal R, Marsland CP (2004) Effective nonanatomical endoscopy training produces clinical airway endoscopy proficiency. Anesth Analg 99:938-44View Article PubMed
  9.Williams KA, Barker GL, Harwood RJ, Woodall NM (2005) Combined nebulization and spray-as-you-go topical local anaesthesia of the airway. Br J Anaesth 95:549-53View Article PubMed
  10.Patil V, Barker GL, Harwood RJ, Woodall NM (2002) Training course in local anaesthesia of the airway and fibreoptic intubation using course delegates as subjects. Br J Anaesth 89:586-93View Article PubMed
  11.Ramsay MA, Savege TM, Simpson BR et al (1974) Controlled sedation with ithalphaxalone-alphadolone. Br Med J 920:656-59View Article
  12.Duncan HP, Zurich NJ et al (2001) Should we reconsider awake neonatal intubation? A review of the evidence and treatment strategies. Paediatr Anesth 11(2):135-45View Article
  13.Xue FS, Li CW, Sun HT, Liu KP, Zhang GH, Xu YC, Liu Y, Yu L (2006) The circulatory responses to fibreoptic intubation: a comparison of oral and nasal routes. Anaesthesia 61:639-45View Article PubMed
  14.Kundra P, Kutralam S, Ravishankar M (2000) Local anaesthesia for awake fibreoptic nasotracheal intubation. Acta Anaesthesiol Scand 44:511-16View Article PubMed
  15.Sanchez A, Iyer RR, Morrison DE (2007) Preparation of the patient for awake intubation. In: Hagberg CA (ed) Benumof’s airway management. Principles and practice, 2nd edn. MosbyYear Book Inc, St. Louis, pp 263-77
  16.Xue FS, Yang QY, Liao X, Liu JH, Tong SY (2007) Topical anesthesia of the airway using fibreoptic bronchoscope and the MADgic? atomizer in patients with predicted difficult intubation. Can J Anaesth 54:951-52View Article PubMed
  
• 作者单位：Satish Dhasmana (1)
  Vibha Singh (2)
  Uma Shankar Pal (2)
  
  1. Department of Anaesthesiology, King George’s Medical University, Lucknow, U.P., India
  2. Department of Maxillofacial Surgery, King George’s Medical University, Lucknow, U.P., India
  
• 刊物主题：Oral and Maxillofacial Surgery; Dentistry; Otorhinolaryngology; Plastic Surgery;
• 出版者：Springer India
• ISSN：0974-942X

文摘

Study Design This randomized, comparative clinical study was designed to compare 2?% lignocaine nebulization and 2?% lignocaine via spray-as-you-go technique for topical airway anaesthesia during or awake flexible fiberoptic intubation (AFOI) in temporomandibular joint (TMJ) ankylosis patients. Methods Sixty adult patients with TMJ ankylosis were randomly assigned to the following study groups using a computer generated random number table?2?% lignocaine nebulised (group A) and 2?% lignocaine via spray-as-you-go technique (group B). After airway anaesthesia, awake flexible fiberoptic nasotracheal intubation was performed. An independent investigator who did not participate in the study scored patients-comfort during airway topical anaesthesia and patients-reaction during awake FOI. Changes in haemodynamics during the airway manipulation were also observed. Results There were no statistically significant differences in the observed variables between the two groups. Conclusions Both 2?% lignocaine nebulization and 2?% lignocaine spray-as-you-go technique provided acceptable conditions for AFOI in TMJ patients.