Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study
Background The preferred management strategy for difficult airways is awake fiberoptic bronchoscopy-guided intubation, which requires effective airway anesthesia to ensure patient comfort and acceptance. This randomized single-blind prospective study was conducted to compare lignocaine nebulization...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2018-04-01
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| Series: | Korean Journal of Anesthesiology |
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| Online Access: | http://ekja.org/upload/pdf/kjae-2018-71-2-120.pdf |
| _version_ | 1818605737845194752 |
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| author | Pooja Rawat Mathur Neena Jain Aji Kumar Beena Thada Veena Mathur Deepak Garg |
| author_facet | Pooja Rawat Mathur Neena Jain Aji Kumar Beena Thada Veena Mathur Deepak Garg |
| author_sort | Pooja Rawat Mathur |
| collection | DOAJ |
| description | Background The preferred management strategy for difficult airways is awake fiberoptic bronchoscopy-guided intubation, which requires effective airway anesthesia to ensure patient comfort and acceptance. This randomized single-blind prospective study was conducted to compare lignocaine nebulization and airway nerve block for airway anesthesia prior to awake fiberoptic bronchoscopy-guided intubation. Methods Sixty adult patients scheduled for surgical procedures under general anesthesia were randomly allocated to two groups. Group N received jet nebulization (10 ml of 4% lignocaine) and Group B received bilateral superior laryngeal and transtracheal recurrent laryngeal nerve blocks (each with 2 ml of 2% lignocaine) followed by fiberoptic bronchoscopy-guided nasotracheal intubation. All patients received procedural sedation with dexmedetomidine. The intubation time, intubating conditions, vocal cord position, cough severity, and degree of patient satisfaction were recorded. Student’s t test was used to analyze parametric data, while the Mann-Whitney U test was applied to non-parametric data and Fisher’s test to categorical data. P values < 0.05 were considered statistically significant. Results The time taken for intubation was significantly shorter in Group B [115.2 (14.7) s compared with Group N [214.0 (22.2) s] (P = 0.029). The intubating conditions and degree of patient comfort were better in Group B compared with Group N. Although all patients were successfully intubated, patient satisfaction was higher in Group B. Conclusions Airway nerve blocks are preferable to lignocaine nebulization as they provide superior-quality airway anesthesia. However, nebulization may be a suitable alternative when a nerve block is not feasible. |
| first_indexed | 2024-12-16T13:59:43Z |
| format | Article |
| id | doaj.art-9bb5e51520524b94a156b14001a0b860 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-16T13:59:43Z |
| publishDate | 2018-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-9bb5e51520524b94a156b14001a0b8602022-12-21T22:29:06ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632018-04-0171212012610.4097/kjae.2018.71.2.1208392Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective studyPooja Rawat MathurNeena JainAji KumarBeena ThadaVeena MathurDeepak GargBackground The preferred management strategy for difficult airways is awake fiberoptic bronchoscopy-guided intubation, which requires effective airway anesthesia to ensure patient comfort and acceptance. This randomized single-blind prospective study was conducted to compare lignocaine nebulization and airway nerve block for airway anesthesia prior to awake fiberoptic bronchoscopy-guided intubation. Methods Sixty adult patients scheduled for surgical procedures under general anesthesia were randomly allocated to two groups. Group N received jet nebulization (10 ml of 4% lignocaine) and Group B received bilateral superior laryngeal and transtracheal recurrent laryngeal nerve blocks (each with 2 ml of 2% lignocaine) followed by fiberoptic bronchoscopy-guided nasotracheal intubation. All patients received procedural sedation with dexmedetomidine. The intubation time, intubating conditions, vocal cord position, cough severity, and degree of patient satisfaction were recorded. Student’s t test was used to analyze parametric data, while the Mann-Whitney U test was applied to non-parametric data and Fisher’s test to categorical data. P values < 0.05 were considered statistically significant. Results The time taken for intubation was significantly shorter in Group B [115.2 (14.7) s compared with Group N [214.0 (22.2) s] (P = 0.029). The intubating conditions and degree of patient comfort were better in Group B compared with Group N. Although all patients were successfully intubated, patient satisfaction was higher in Group B. Conclusions Airway nerve blocks are preferable to lignocaine nebulization as they provide superior-quality airway anesthesia. However, nebulization may be a suitable alternative when a nerve block is not feasible.http://ekja.org/upload/pdf/kjae-2018-71-2-120.pdfairway managementdexmedetomidineintubationlignocainenebulizersnerve block |
| spellingShingle | Pooja Rawat Mathur Neena Jain Aji Kumar Beena Thada Veena Mathur Deepak Garg Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study Korean Journal of Anesthesiology airway management dexmedetomidine intubation lignocaine nebulizers nerve block |
| title | Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic
bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study |
| title_full | Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic
bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study |
| title_fullStr | Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic
bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study |
| title_full_unstemmed | Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic
bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study |
| title_short | Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic
bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study |
| title_sort | comparison between lignocaine nebulization and airway nerve block for awake fiberoptic bronchoscopy guided nasotracheal intubation a single blind randomized prospective study |
| topic | airway management dexmedetomidine intubation lignocaine nebulizers nerve block |
| url | http://ekja.org/upload/pdf/kjae-2018-71-2-120.pdf |
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