A jet nebuliser for delivery of topical anesthesia to the respiratory tract. A comparison with cricothyroid puncture and direct spraying for fibreoptic bronchoscopy.

Abstract:

:Topical anesthesia of the respiratory tract for fibreoptic bronchoscopy was compared, in a single-blind study, inhaled from a simple and inexpensive jet nebuliser, administered by cricothyroid injection or by a 'spray-as-you-go technique'. Each technique was supplemented by spraying lignocaine through the fibrescope and intravenous fentanyl-droperidol sedation. Inhaled nebulisation was successfully used for 96% (46 of 48) of patients, was safe, effective and acceptable to the patient and bronchoscopist. The cricothyroid injection method produced better conditions than nebulisation in patients who had diagnostic bronchoscopy. The nebuliser technique is as satisfactory as the spraying technique in patients for diagnostic bronchial lavage in whom bleeding from a cricothyroid puncture is unacceptable. Patients who used the nebuliser were more satisfied. This technique may also be a useful method for 'awake' intubation.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Isaac PA,Barry JE,Vaughan RS,Rosen M,Newcombe RG

doi

10.1111/j.1365-2044.1990.tb14504.x

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

46-8

issue

1

eissn

0003-2409

issn

1365-2044

journal_volume

45

pub_type

临床试验,杂志文章,随机对照试验
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