EMLA® Cream coated on the rigid bronchoscope for tracheobronchial foreign body removal in children

Abstract

EC coated on the rigid bronchoscope combined with intravenous anesthesia could provide more efficacious and safer anesthesia for tracheobronchial foreign body removal in children under spontaneous ventilation.

A retrospective study of anesthesia during rigid bronchoscopy for airway foreign body removal in children: propofol and sevoflurane with spontaneous ventilation

“…Body movement and coughing became more frequent when the duration of bronchoscopy exceeded 30 min, probably in part because topical lidocaine anesthesia gradually diminished over time. We found that topical lidocaine applied to the oropharynx, supraglottic, and glottic structures, and the trachea was helpful and reduced the amount of anesthetics needed during the procedure, an observation consistent with those by others .…”

Comparison of silicone spray versus water soluble lubricating jelly for the aid in bronchoscopic examination

“…Larger studies need to be conducted on human subjects in order to determine if there is an impact on the type of lubricant used for fiberoptic bronchoscopy. There has been focus on preparation of the patient for bronchoscopy [10,11], but little on the preparation of the bronchoscope related to specific lubrication [4]. Overall, our findings tend to favor the use of SS over WSLJ.…”

“…Publications for the use of lubrication for bronchoscopy is limited, with a recent reference involving the use of lubricant ointment versus a cream mixture consisting of 2.5% lidocaine and 2.5% prilocaine (EMLA cream) for rigid bronchoscopy. In that publication, Hai Yu and colleagues found excellent bronchoscopic manipulation conditions in 80% with EMLA as compared to 13% in the lubricant ointment [4].…”

Anesthésie pour bronchoscopie rigide interventionnelle

“…Certaines équipes réalisent des bronchoscopies rigides en VS après anesthé-sie locale de contact plus ou moins complétée par un bloc des nerfs laryngés supérieurs, associé à une sédation [8]. L'application de la crème EMLA sur le bronchoscope rigide peut assurer des bonnes conditions interventionnelles pour l'extraction des corps étrangers trachéobronchiques chez les enfants en VS sous anesthésie générale [9]. Il existe plusieurs inconvénients à la pratique de l'anesthésie en VS : le risque d'hypoventilation et d'acidose respiratoire, le faible relâchement musculaire, le risque de laryngospasme.…”