Safe Awake Intubation Using by the Nebulizer Delivering Lidocaine and AirwayScope : With Trials on Healthy Volunteer Anesthesiologists

Awake intubation is very stressful for both patients and anesthesiologists because of several difficulties. It depends on the experience and skill of anesthesiologists. Here, we describe the procedure of awake intubation under inhalation of 4% lidocaine and AirwayScope on four volunteer anesthesiolo...

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Published inTHE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA Vol. 36; no. 1; pp. 20 - 24
Main Authors OSHIRO, Masaya, YOSHIMURA, Shinichiro, OSHIRO, Akane, SAKATA, Keiko, TAKEUCHI, Hiroyuki, SHIMOSATO, Akihikari
Format Journal Article
LanguageJapanese
Published THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA 15.01.2016
Subjects
AirwayScope
Awake intubation
Difficult airway
Inhalation of regional anesthetics
Nebulizer
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Summary:Awake intubation is very stressful for both patients and anesthesiologists because of several difficulties. It depends on the experience and skill of anesthesiologists. Here, we describe the procedure of awake intubation under inhalation of 4% lidocaine and AirwayScope on four volunteer anesthesiologists, and report a putative difficult airway case. Inhalation of local anesthetic alone could not sufficiently suppress the airway reflex in the patient. The procedure together with the administration of fentanyl up to 300 microg achieved successful and safe intubation. This method would be useful for awake intubation in cooperating patients.
ISSN:0285-4945
1349-9149
DOI:10.2199/jjsca.36.20