To Compare the Efficacy of Local Anaesthetic Administration via Spray as you Go Technique and Ultrasonic Nebulisation for Awake Fiberoptic Intubation
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 1
Abstract
ABSTRACT Introduction: Awake fiberoptic intubation using local anaesthetics is the most dependable procedure to secure a difficult airway. It is electively done under various techniques of local anaesthesia which include administration of local anaesthetic via nebulisation, airway blocks and spray as you go with or without sedation. Aim: To compare the efficacy of nebulisation with 4% lignocaine versus spray as you go technique for awake fiberoptic intubation. Materials and Methods: Sixty patients of American Society of Anesthesiologists (ASA) grade I-III were randomly divided into two groups (group N and group S). Patients in group N were nebulised with 4mL of 4% lignocaine while group S patients received four aliquots of 1mL 4% lignocaine through the working channel of the fiberoptic bronchoscope. The patients were compared for haemodynamic parameters, intubating conditions, intubation attempts, time taken for intubation and patient satisfaction score. The results were statistically analysed using SPSS version 22.0 software and compared. Results: On comparing the intubating conditions, the patients in group S showed better intubation score than the patients in group N (p-value
Authors and Affiliations
Harpreet KAUR, RANJANA KHETARPAL, VEENA CHATRATH, HARKOMAL KAUR, PIYUSH KHANNA
Keywords
Related Articles
- EP ID EP524074
- DOI 10.7860/JCDR/2018/29241.11067
- Views 53
- Downloads 0
Knowledge, Attitude and Practices regarding Dengue among Outpatients and their Attenders in Three Primary Health Care Centres in Coimbatore, Tamil Nadu, India
ABSTRACT Introduction: Dengue is an arboviral disease transmitted by Aedes aegypti Mosquitoes with incidence of 50 to 100 million infections annually worldwide. Since no effective vaccine for Dengue is commercially avail...
Autism Spectrum DisordersAetiopathogenesis
Autism Spectrum Disorders (ASD) are characterised by a range of clinical features that can vary from individual to individual in both degree of severity and variability of the clinical presentation. The aetiology or caus...
Orbital Myiasis with Scalp Pediculosis and Buccal Abscess– An Uncommon Presentation
We present a case of severe orbital myiasis caused by Osteris ovis, also known as sheep nasal botfly which is an uncommon manifestation of maggot infestation. Our patient was successfully treated with oral as well as top...
Prediction of Neurological Outcome in High Risk Neonates: Prospective Study
ABSTRACT Introduction: High risk babies are vulnerable to neurological brain injury. Early identification of injury will help in initiating strategies to reduce the neurological damage and hence prevent long term sequeal...
Socio-demographic and Lifestyle Determinants of Insomnia among Adult Patients Attending Primary Healthcare Centres, Jeddah: A Cross-sectional Study
ABSTRACT Introduction: Insomnia is the most prevalent sleep disorder. Its prevalence differs worldwide, from 5% to 40% depending on the criteria used to define insomnia, techniques, and method of collecting data. In Saud...