Local anaesthesia to the airway reduces sedation requirements in patients undergoing artificial ventilation

British Journal of Anaesthesia

Volumn 77, Issue 6, 1996, Pages 731-734

  Mallick, A ^a   Smith, S N ^a   Bodenham, A R ^a  

^a LEEDS GENERAL INFIRMARY   (United Kingdom)

Author keywords

Airway, mucosa; Anaesthetics i.v., alfentanil; Anaesthetics i.v., propofol; Anaesthetics local, lignocaine; Intensive care, sedation; Ventilation, artificial

Indexed keywords

ALFENTANIL; ANESTHETIC AGENT; FENTANYL DERIVATIVE; LIDOCAINE; LOCAL ANESTHETIC AGENT; PROPOFOL;

ADULT; AGED; AIRWAY; ARTICLE; ARTIFICIAL VENTILATION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; DOUBLE BLIND PROCEDURE; ENDOTRACHEAL TUBE; FEMALE; HUMAN; INTENSIVE CARE; LOCAL ANESTHESIA; MALE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SEDATION;

EID: 0030475801     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/77.6.731     Document Type: Article

References (15)

1. Bion J. Sedation and analgesia in the intensive care unit. Hospital Update 1988; 14: 272.
2. Paiement B, Boulanger M, Jones CW, Roy M. Intubation and other experiences in cardiac surgery: The consumer's views. Canadian Anaesthetists Society Journal 1979; 26: 173.
3. Prielipp RC, Coursin DB, Wood KE, Murray MJ. Complications associated with sedatives and neuromuscular blocking drugs in critically ill patients. Critical Care Clinics 1995; 11: 983-1003.
4. Reasoner DK, Warner DS, Todd MM, Hunt SW, Kirchner J. A comparison of anesthetic techniques for awake intubation in neurosurgical patients. Journal of Neurosurgical Anesthesiology 1995; 7: 94-99.
5. Gonzalez RM, Bjerke RJ, Drobycki T, Stapelfeldt WH, Green JM, Janowitz MJ, Clark M. Prevention of endotracheal tube-induced coughing during emergence from general anesthesia. Anesthesia and Analgesia 1994; 79: 792-795.
6. Ramsay MA, Savage TM, Simpson BR, Goodwin R. Controlled sedation with alphaxalone-alphadolone. British Medical Journal 1974; 2: 656-659.
7. Rodriguez JL, Steinberg SM, Luchetti FA, Gibbons KJ, Taheri PA, Flint LM. Early tracheostomy for primary airway management in the surgical critical care setting. Surgery 1990; 108: 655-659.
8. Nicolaou AJ, Tofte B, Leech RC, Beaumont AC. Early tracheostomy in ICU for patients with acute exacerbation of chronic obstructive pulmonary disease. British Journal of Anaesthesia 1995; 74: A363.
9. Broachard L, Mancebo J, Wysocki M, Lofaso F, Conti G, Rauss A, Simonneau G, Benito S, Gasparetto A, Lemaire F, Isabey D, Harf A. Noninvasive ventilation for acute exacerbation of GOAD. New England Journal of Medicine 1995; 333: 817-822.
10. Harper S, Buckley P, Carr K. Propofol and alfentanil for sedation in intensive therapy. European Journal of Anaesthesiology 1991; 8: 157.
11. Pavlin DJ, Coda B, Shen DD, Tschanz J, Nguyen Q, Schaffer R, Donaldson G, Jacobson RC, Chapman CR. Effects of combining propofol and alfentanil on ventilation, analgesia, sedation, and emesis in human volunteers. Anesthesiology 1996; 84: 23-37.
12. Hansen-Flaschen J, Cowen J, Polomano RC. Beyond the Ramsay scale: need for a validated measure of sedating drug efficacy in the intensive care unit. Critical Care Medicine 1994; 22: 732-733.
13. Hilleman DE, Mohiuddin SM, Mooss AN, Hunter CB, Destache CJ, Sketch MH Sr. Comparative pharmacodynamics of intravenous lidocaine in patients with acute and chronic ventricular arrhythmias. Annals of Pharmacotherapy 1992; 26: 763-767.
14. Yukioka H, Hayashi M, Terai T, Fujimore M. Intravenous lidocaine as suppressant of coughing during tracheal intubation in elderly patients. Anesthesia and Analgesia 1993; 77: 309-312.
15. Singh H, Vichitvejpaisal P, Gaines GY, White PF. Comparative effects of lidocaine, esmolol, and nitroglycerin in modifying the hemodynamic response to laryngoscopy and intubation. Journal of Clinical Anaesthesia 1995; 7: 5-8.