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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Abstract 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.
AbstractList 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.
Author YOSHIMURA, Shinichiro
OSHIRO, Masaya
TAKEUCHI, Hiroyuki
SAKATA, Keiko
SHIMOSATO, Akihikari
OSHIRO, Akane
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  fullname: OSHIRO, Masaya
  organization: Department of Anesthesiology, Kenwakai Ohtemachi Hospital
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  fullname: YOSHIMURA, Shinichiro
  organization: Department of Anesthesiology, Kenwakai Ohtemachi Hospital
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  fullname: OSHIRO, Akane
  organization: Department of Anesthesiology, Kenwakai Ohtemachi Hospital
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  fullname: SAKATA, Keiko
  organization: Department of Anesthesiology, Kenwakai Ohtemachi Hospital
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  fullname: TAKEUCHI, Hiroyuki
  organization: Department of Anesthesiology, Kenwakai Ohtemachi Hospital
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  fullname: SHIMOSATO, Akihikari
  organization: Department of Anesthesiology, Kenwakai Ohtemachi Hospital
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Copyright 2016 by The Japan Society for Clinical Anesthesia
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References 2) 杉原佐知子，中里馨，丸山繁ほか：気管支鏡検査に於けるジャクソン型噴霧器及び超音波ネブライザーを用いた麻酔法の臨床的比較検討．日本気管支研究会雑誌 13（増刊）：117，1991
4) Koyama Y, Inagawa G, Miyashita T, et al. : Comparison of the Airway Scope, gum elastic bougie and fibreoptic bronchoscope in simulated difficult tracheal intubation : a manikin study. Anaesthesia 62 : 936-939, 2007
3) Nishikawa K, Matsuoka H, Saito S : Tracheal intubation with the PENTAX-AWS (airway scope) reduces changes of hemodynamic responses and bispectral index scores compared with the Macintosh laryngoscope. J Neurosurg Anesthesiol 21 : 292-296, 2009
1) Bourke DL, Katz J, Tonneson A : Nebulized anesthesia for awake endotracheal intubation. Anesthesiology 63 : 690-692, 1985
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SubjectTerms AirwayScope
Awake intubation
Difficult airway
Inhalation of regional anesthetics
Nebulizer
Title Safe Awake Intubation Using by the Nebulizer Delivering Lidocaine and AirwayScope : With Trials on Healthy Volunteer Anesthesiologists
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