Evaluation of the efficacy of transcricoid lignocaine as adjunctive local anaesthesia for fiberoptic bronchoscopy

Hamad, S.; Al‐Alawi, Mazen; Devaney, N.; Subramaniam, Abirami; Sj, Lane

doi:10.1007/s11845-014-1099-y

Cited by 11 publications

(7 citation statements)

References 11 publications

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“…Drug administration via cricothyroid injection also found better VAS scores for ease of procedure and cough than spray-as-you go technique in sedation bronchoscopy. [160] Other studies have also reported similar results with cricothyroid injection, demonstrating faster procedure times[161] and better quality of anesthesia. [162] In a recent RCT, cricothyroid injection demonstrated superiority over the spray technique.…”

Section: Premedicationmentioning

confidence: 76%

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

et al. 2019

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Flexible bronchoscopy (FB) is commonly performed by respiratory physicians for diagnostic as well as therapeutic purposes. However, bronchoscopy practices vary widely across India and worldwide. The three major respiratory organizations of the country supported a national-level expert group that formulated a comprehensive guideline document for FB based on a detailed appraisal of available evidence. These guidelines are an attempt to provide the bronchoscopist with the most scientifically sound as well as practical approach of bronchoscopy. It involved framing appropriate questions, review and critical appraisal of the relevant literature and reaching a recommendation by the expert groups. The guidelines cover major areas in basic bronchoscopy including (but not limited to), indications for procedure, patient preparation, various sampling procedures, bronchoscopy in the ICU setting, equipment care, and training issues. The target audience is respiratory physicians working in India and well as other parts of the world. It is hoped that this document would serve as a complete reference guide for all pulmonary physicians performing or desiring to learn the technique of flexible bronchoscopy.

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Section: Premedicationmentioning

confidence: 76%

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

et al. 2019

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“…Dyclonine hydrochloride mucilage is a local anesthetic with strong penetration and a lasting effect. It enhances the ease of the procedure and cough suppression in patients undergoing flexible bronchoscopy and serves as an important and underutilized adjunct to local anesthesia in flexible bronchoscopy . Dyclonine hydrochloride mucilage is used for anesthesia and lubrication of the larynx before a bronchoscope examination.…”

Section: Discussionmentioning

confidence: 99%

1% Tetracaine hydrochloride injection pure solution aerosol inhalation combined with oral administration of dyclonine hydrochloride mucilage as upper airway anesthesia for bronchoscopy: A randomized controlled trial

Wang

Jin

Liu

et al. 2019

Clinical Respiratory J

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Background: During the bronchoscopy process, successful passage of the tracheoscope through the glottis can affect the following procedure of bronchoscopy. Therefore, safer, more effective and less painful anesthesia methods are particularly important for the bronchoscopy success rate. Objective: This study aimed to evaluate the efficacy of 1% tetracaine hydrochloride injection pure solution aerosol inhalation combined with oral administration of dyclonine hydrochloride mucilage during bronchoscopy. Methods: Patients who need bronchoscopy or bronchoscope treatment were randomly assigned to two groups; group A received pure tetracaine hydrochloride injection solution (3 mL of 1% tetracaine hydrochloride) aerosol inhalation combined with oral 5 mL of dyclonine hydrochloride mucilage and group B received diluted tetracaine hydrochloride injection (3 mL of 1% tetracaine hydrochloride injection + 3 mL of sterile water for injection) aerosol inhalation combined with oral 5 mL of dyclonine hydrochloride mucilage. The anesthetic effect and adverse reactions of these groups were observed and compared. Result: A total of 523 patients were randomized. The results showed that patient's tolerance, cough response, glottis opening during the bronchoscope into the glottis and the time required to the tracheoscope pass through the glottis were obviously significantly better in group A than in group B. Vital signs including blood pressure, heart rate and pulse oxygen saturation were more stable in group A than in group B. Conclusion: The 1% tetracaine hydrochloride injection pure liquid aerosol inhalation combined with oral administration of dyclonine hydrochloride mucilage as upper airway anesthesia is effective and safe for bronchoscopy. This method of local anesthesia is worthy of clinical application. K E Y W O R D Saerosol inhalation, bronchoscopy, local anesthesia, tetracaine hydrochloride injection | 133 WANG et Al.

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“…Following criteria were set for the evaluation of anesthesia. 6 Excellent anesthetic effect: smooth bronchoscopy operation, patients remaining silent during microscopic examination, occasional slight cough, no nausea and retching; good anesthetic effect: smooth bronchoscopy operation, mild cough during microscopic examination, cough less than six times, occasional nausea and retching; medium anesthetic effect: smooth bronchoscopy operation, continuous cough during microscopic examination, mild nausea and retching; and poor anesthetic effect: no smooth bronchoscopy operation, restless patient, violent cough lasting for a long time during microscopic examination, symptoms of nausea and frequent retching, hard breath or hypoxia cyanosis for long time.…”

Section: Methodsmentioning

confidence: 99%

Comparison of oxycodone hydrochloride and sufentanil used in painless fiberbronchoscopy

et al. 2018

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The study was designed to understand the effects of oxycodone hydrochloride and sufentanil used in painless fiberoptic bronchoscopy. A total of 90 patients aged 3-84 years undergoing painless fiberoptic bronchoscopy were selected, American Society of Anesthesiologists (ASA): I-III criteria-the equal number of subjects were randomly divided into sufentanil group (group A) and oxycodone hydrochloride group (group B). The vital signs, surgical examination and anesthesia, the effect of anesthesia, and adverse reactions were compared between the two groups during the operation. The change of heart rate and changes of hemodynamics in group B were found to be lower than in group A. The number of breaths was significantly lower than group B. The decrease of SpO 2 in group A was higher than in group B. Cases of SpO 2 <90% was higher in group A than in group B. The dosage of propofol and the recovery time in group A was significantly higher than in group B. The incidence of nausea and vomiting in group A was higher than in group B. Oxycodone hydrochloride combined with propofol used in painless fiberoptic bronchoscopy could improve the safety and efficiency of analgesia compared to sufentanil combined with propofol. The effect was found to have stable hemodynamics and fewer adverse reactions.

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Evaluation of the efficacy of transcricoid lignocaine as adjunctive local anaesthesia for fiberoptic bronchoscopy

Abstract: The findings of the study demonstrate that the use of transcricoid injection of lignocaine provided a safe adjunct for anaesthesia in flexible bronchoscopy.

Cited by 11 publications

References 11 publications

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations

1% Tetracaine hydrochloride injection pure solution aerosol inhalation combined with oral administration of dyclonine hydrochloride mucilage as upper airway anesthesia for bronchoscopy: A randomized controlled trial

Comparison of oxycodone hydrochloride and sufentanil used in painless fiberbronchoscopy

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