A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation
Abstract Background Spray-as-you-go (SAYGo) airway topical anesthesia and nerve block are common techniques used during awake tracheal intubation. However, their effects have not been described during double-lumen tube intubation. We report on a prospective randomized study that aimed to compare the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-022-01749-8 |
| _version_ | 1818235764716077056 |
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| author | Changlin Chen Di Wen Yizheng Wang Hongqiong Li Qi Yu Mao Li |
| author_facet | Changlin Chen Di Wen Yizheng Wang Hongqiong Li Qi Yu Mao Li |
| author_sort | Changlin Chen |
| collection | DOAJ |
| description | Abstract Background Spray-as-you-go (SAYGo) airway topical anesthesia and nerve block are common techniques used during awake tracheal intubation. However, their effects have not been described during double-lumen tube intubation. We report on a prospective randomized study that aimed to compare the intubation effects of SAYGo and nerve block patients undergoing thoracic surgery. Methods Sixty-six American Society of Anesthesiologists (ASA) physical status I and II patients were scheduled to undergo double-lumen tube (DLT) tracheal intubation for thoracic surgery. The patients were randomly assigned into control (Group C), ultrasound (Group U), and flexible intubation scope (Group F) groups with 22 cases in each group. Patients in Group C were induced with a standard anesthetic regimen. Patients in Groups U and F were treated with superior laryngeal nerve (SLN) block combined with transtracheal injection (TTI) and given a SAYGo airway topical anesthesia before intubation. Hemodynamic variables during intubation process were recorded as the primary outcome. Additional patient data were recorded including the occurrence of adverse events, the level of hoarseness, the occurrence of sore throats, memory function and the level of patient satisfaction with anesthesia. Results The blood pressure (BP) and heart rate (HR) of patients in group C was significantly increased 1 min after tracheal intubation (P < 0.05) compared to before anesthesia. The BP and HR of patients in Groups U and F remained stable. 10 cases of hypertension were observed in Group C, 6 cases in Group U and 1 case in Group F. In Group C, tachycardia was observed in 9 patients along with 9 cases in Group U and 4 cases in Group F. In Group U, 4 patients experienced puncture and bleeding were and 8 patients had a poor memory of TTI. No significant differences were found in the incidence of hoarseness, sore throats, and satisfaction with anesthesia in postoperative follow-up. Conclusions SAYGo airway topical anesthesia and SLN block combined with the TTI technique can inhibit the cardiovascular response during DLT tracheal intubation. The SAYGo technique has fewer complications and more advantages compared to other approaches. |
| first_indexed | 2024-12-12T11:59:09Z |
| format | Article |
| id | doaj.art-7cfd018b080541faa8e7f39d7c894d9c |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-12T11:59:09Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-7cfd018b080541faa8e7f39d7c894d9c2022-12-22T00:25:09ZengBMCBMC Anesthesiology1471-22532022-07-012211910.1186/s12871-022-01749-8A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubationChanglin Chen0Di Wen1Yizheng Wang2Hongqiong Li3Qi Yu4Mao Li5Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical CollegeDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical CollegeAbstract Background Spray-as-you-go (SAYGo) airway topical anesthesia and nerve block are common techniques used during awake tracheal intubation. However, their effects have not been described during double-lumen tube intubation. We report on a prospective randomized study that aimed to compare the intubation effects of SAYGo and nerve block patients undergoing thoracic surgery. Methods Sixty-six American Society of Anesthesiologists (ASA) physical status I and II patients were scheduled to undergo double-lumen tube (DLT) tracheal intubation for thoracic surgery. The patients were randomly assigned into control (Group C), ultrasound (Group U), and flexible intubation scope (Group F) groups with 22 cases in each group. Patients in Group C were induced with a standard anesthetic regimen. Patients in Groups U and F were treated with superior laryngeal nerve (SLN) block combined with transtracheal injection (TTI) and given a SAYGo airway topical anesthesia before intubation. Hemodynamic variables during intubation process were recorded as the primary outcome. Additional patient data were recorded including the occurrence of adverse events, the level of hoarseness, the occurrence of sore throats, memory function and the level of patient satisfaction with anesthesia. Results The blood pressure (BP) and heart rate (HR) of patients in group C was significantly increased 1 min after tracheal intubation (P < 0.05) compared to before anesthesia. The BP and HR of patients in Groups U and F remained stable. 10 cases of hypertension were observed in Group C, 6 cases in Group U and 1 case in Group F. In Group C, tachycardia was observed in 9 patients along with 9 cases in Group U and 4 cases in Group F. In Group U, 4 patients experienced puncture and bleeding were and 8 patients had a poor memory of TTI. No significant differences were found in the incidence of hoarseness, sore throats, and satisfaction with anesthesia in postoperative follow-up. Conclusions SAYGo airway topical anesthesia and SLN block combined with the TTI technique can inhibit the cardiovascular response during DLT tracheal intubation. The SAYGo technique has fewer complications and more advantages compared to other approaches.https://doi.org/10.1186/s12871-022-01749-8Spray-as-you-goSuperior laryngeal nerve blockTranstracheal injectionAirway topical anesthesiaDouble-lumen tubeIntubation |
| spellingShingle | Changlin Chen Di Wen Yizheng Wang Hongqiong Li Qi Yu Mao Li A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation BMC Anesthesiology Spray-as-you-go Superior laryngeal nerve block Transtracheal injection Airway topical anesthesia Double-lumen tube Intubation |
| title | A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation |
| title_full | A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation |
| title_fullStr | A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation |
| title_full_unstemmed | A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation |
| title_short | A spray-as-you-go airway topical anesthesia attenuates cardiovascular responses for double-lumen tube tracheal intubation |
| title_sort | spray as you go airway topical anesthesia attenuates cardiovascular responses for double lumen tube tracheal intubation |
| topic | Spray-as-you-go Superior laryngeal nerve block Transtracheal injection Airway topical anesthesia Double-lumen tube Intubation |
| url | https://doi.org/10.1186/s12871-022-01749-8 |
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