Does Topical Anesthesia Using Aerosolized Lidocaine Inhibit the Superior Laryngeal Nerve Reflex?

Arslan, İlker Burak; Köse, Işıl; Ciğer, Ejder; Demirhan, Erhan; Gümüşsoy, Murat; Çukurova, İbrahim

doi:10.1177/0194599813495372

Cited by 16 publications

(11 citation statements)

References 29 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They found that lidocaine exaggerated findings associated with laryngomalacia and resulted in a higher laryngomalacia score, when compared to normal saline controls. However, Arslan et al demonstrated preserved laryngeal patency and closure in adults . Three studies reported that topical lidocaine reduced upper airway reflexes (cough, mechanoreceptor reflexes, and genioglossus muscle activity) during obstructive apnea and impaired the arousal response .…”

Section: Resultsmentioning

confidence: 99%

“…However, Arslan et al demonstrated preserved laryngeal patency and closure in adults. 7 Three studies reported that topical lidocaine reduced upper airway reflexes (cough, mechanoreceptor reflexes, and genioglossus muscle activity) during obstructive apnea and impaired the arousal response. [8][9][10] One study demonstrated that 4% lignocaine reduced upper airway reflex sensitivity for up to 100 minutes.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The effects of Anesthesia and opioids on the upper airway: A systematic review

Mahmoud²,

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The effects of Anesthesia and opioids on the upper airway: A systematic review

Mahmoud²,

et al. 2015

View full text Add to dashboard Cite

show abstract

“…However, it should still be noted that even brief gentle laryngoscopy and topical anesthesia can cause laryngospasm and subsequent airway collapse. [ 20 , 21 ]…”

Section: Discussionmentioning

confidence: 99%

Airway management in patients with deep neck infections

et al. 2016

View full text Add to dashboard Cite

Securing the airway in patients undergoing surgical intervention to control a deep neck infection (DNI) is challenging for anesthesiologists due to the distorted airway anatomy, limited mouth opening, tissue edema, and immobility. It is critical to assess the risk of a potential difficult airway and prepare the most appropriate airway management method.We reviewed our anesthetic experiences managing patients with DNIs, focusing on the need for video-laryngoscope or awake fiberoptic intubation beyond a standard intubation from the anesthesiologist's perspective.When patients had infections in the masticatory space, mouth of floor, oropharyngeal mucosal space, or laryngopharynx, their airways tended to be managed using methods requiring more effort by the anesthesiologists, and more extensive equipment preparation, compared with use of a standard laryngoscope. The degree to which the main lesion influenced the airway anatomy, especially at the level of epiglottis and aryepiglottic fold was related to the airway management method selected.When managing the airways of patients undergoing surgery for DNIs under general anesthesia, anesthesiologists should use imaging with computed tomography to evaluate the preoperative airway status and a comprehensive understanding of radiological findings, comorbidities, and patients’ symptoms is needed.

show abstract

“…Adult patients submitted to suspension laryngoscopy may also benefit from the use of vagolytic drugs at the beginning of the surgical procedure, especially from high vagal tone, identified in the cardiologic evaluation [9]. As another proposal, it is suggested that deep anesthesia associated with topical lidocaine may reduce the risk of asystole, but data are still limited [15].…”

Section: Discussionmentioning

confidence: 99%