Comparison of Enk Fibreoptic Atomizer with translaryngeal injection for topical anaesthesia for awake fibreoptic intubation in patients at risk of secondary cervical injury: A randomised controlled trial

European Journal of Anaesthesiology

Volumn 32, Issue 9, 2015, Pages 615-623

  Malcharek, Michael J ^a   Bartz, Manuel ^b   Rogos, Birgit ^a   Günther, Lutz ^a   Sablotzki, Armin ^a   Gille, Jochen ^a   Schneider, Gerhard ^c  

^a Klinikum St Georg   (Germany)

^b Kliniken des Landkreises   (Germany)

^c UNIVERSITY OF WITTEN HERDECKE   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; FENTANYL; LIDOCAINE; MIDAZOLAM; PROPOFOL; LOCAL ANESTHETIC AGENT;

ADULT; AGED; ANTICOAGULANT THERAPY; ARTICLE; AWAKE FIBREOPTIC INTUBATION; BODY MASS; CERVICAL SPINE INJURY; CONTROLLED STUDY; COUGHING; DYSPHAGIA; ENDOTRACHEAL INTUBATION; ENDOTRACHEAL TUBE; ENK FIBREOPTIC ATOMIZER; FEMALE; GASTROINTESTINAL SYMPTOM; GENERAL ANESTHESIA; HEMOPTYSIS; HOARSENESS; HUMAN; INCIDENCE; INTERMETHOD COMPARISON; LARYNGEAL DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; MALE; MUCOSAL BLEEDING; NEBULIZER; OPERATION DURATION; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; QUALITY CONTROL; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; SECONDARY CERVICAL SPINE INJURY; SEX DIFFERENCE; SPINE INSTABILITY; SPINE SURGERY; TOPICAL ANESTHESIA; TREATMENT OUTCOME; TREATMENT RESPONSE; ADVERSE EFFECTS; CERVICAL VERTEBRA; COMPARATIVE STUDY; DEVICES; DRUG EFFECTS; FIBER OPTICS; INJURIES; LARYNGEAL MASK; LARYNX; LOCAL ANESTHESIA; MIDDLE AGED; PROCEDURES; RISK FACTOR; TOPICAL DRUG ADMINISTRATION; WAKEFULNESS;

ADMINISTRATION, TOPICAL; ADULT; AGED; ANESTHESIA, LOCAL; ANESTHETICS, LOCAL; CERVICAL VERTEBRAE; FEMALE; FIBER OPTIC TECHNOLOGY; HUMANS; INTUBATION, INTRATRACHEAL; LARYNGEAL MASKS; LARYNX; MALE; MIDDLE AGED; RISK FACTORS; WAKEFULNESS;

EID: 84942590500     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0000000000000285     Document Type: Article

References (32)

1. Wangemann BU, Jantzen JP. Die fiberoptische intubation neurochirurgischer Patienten [Fiberoptic intubation of neurosurgical patients]. Neurochirurgia (Stuttg) 1993; 36:117-122.
2. Benumof JL. Management of the difficult adult airway with special emphasis on awake tracheal intubation. Anesthesiology 1991; 75:1087-1110.
3. Kleemann PP. Die schwierige intubation [The difficult intubation]. Anästhesist 1996; 45:1248-1267.
4. Ghafoor AU, Martin TW, Gopalakrishnan S, Viswamitra S. Caring for the patients with cervical spine injuries: what have we learned? J Clin Anesth 2005; 17:640-649.
5. Kill C. Versorgung des polytraumas. Aktuelle strategien der notärztlichen erstbehandlung [Prehospital treatment of severe trauma]. Anästhesiol Intensivmed Notfallmed Schmerzther 2007; 10:708-713.
6. Manninen PH, Jose GB, Lukitto K, et al. Management of the airway in patients undergoing cervical spine surgery. J Neurosurg Anesthesiol 2007; 19:190-194.
7. Isaac PA, Barry JE, Vaughan RS, et al. A jet nebuliser for delivery of topical anesthesia to the respiratory tract. A comparison with cricothyroid puncture and direct spraying for fibreoptic bronchoscopy. Anaesthesia 1990; 45:46-48.
8. Larson CP Jr. Fiberoptic intubation of the trachea (part I). Curr Rev Clin Anesth 2000; 21:117-128.
9. Larson CP Jr. Fiberoptic intubation of the trachea (part II). Curr Rev Clin Anesth 2001; 21:129-136.
10. Koerner IP, Brambrink AM. Fiberoptic techniques. Best Pract Res Clin Anaesthesiol 2005; 19:611-621.
11. Kleemann PP. Methoden der topischen anästhesie des respirationstraktes [Methods of topical anaesthesia of the respiratory tract]. In: Kleeman PP, editor. Fiberoptische intubation [Fibreoptic intubation]: anwendung fiberoptischer geräte in anästhesie und intensivmedizin [The use of fibreoptic advices in anaesthesia and intensive care]. Stuttgart: Georg Thieme Verlag; 1997. pp. 64-69.
12. Webb AR, Fernando SS, Dalton HR, et al. Local anaesthesia for fibreoptic bronchoscopy: transcricoid injection or the 'spray as you go' technique? Thorax 1990; 45:474-477.
13. Peiris K, Frerk C. Awake intubation. J Perioper Pract 2008; 18:96-104.
14. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the difficult airway. Anesthesiology 2003; 98:1269-1277.
15. Graham DR, Hay JG, Clague J, et al. Comparison of three different methods used to achieve local anesthesia for fiberoptic bronchoscopy. Chest 1992; 102:704-707.
16. Sethi N, Tarneja VK, Madhusudanan TP, Shouche S. Local anaesthesia for fiberoptic intubation: a comparison of three techniques. Med J Armed Forces India 2005; 61:22-25.
17. Williams KA, Barker GL, Harwood RJ, Woodall NM. Combined nebulization and spray-as-you-go topical local anaesthesia of the airway. Br J Anaesth 2005; 95:549-553.
18. Piepho T, Thierbach AR, Gö bler SM, et al. Comparison of two different techniques of fibreoptic intubation. Eur J Anaesthesiol 2009; 26:328-332.
19. Malcharek MJ, Rogos B, Watzlawek S, et al. Awake fiberoptic intubation and self-positioning in patients at risk of secondary cervical injury: a pilot study. J Neurosurg Anesthesiol 2012; 24:217-221.
20. Hirasaki A, Uehara K, Asao Y, Maeta M. Awake pronation of surgical patients with cervical spinal lesions. Masui 2000; 49:615-619.
21. Sriganesh K, Ramesh VJ, Veena S, Chandramouli BA. Dexmedetomidine for awake fibreoptic intubation and awake self-positioning in a patient with a critically located cervical lesion for surgical removal of infra-tentorial tumour. Anaesthesia 2010; 65:949-951.
22. Douglass J, Fraser J, Andrzejowski J. Awake intubation and awake prone positioning of a morbidly obese patient for lumbar spine surgery. Anaesthesia 2014; 69:166-169.
23. Avitsian R, Lin J, Lotto M, Ebrahim Z. Dexmedetomidine and awake fiberoptic intubation for possible cervical spine myelopathy: a clinical series. J Neurosurg Anesthesiol 2005; 17:97-99.
24. Bergese SD, Candiotti KA, Bokesch PM, et al. A Phase IIIb, randomized, double-blind, placebo-controlled, multicenter study evaluating the safety and efficacy of dexmedetomidine for sedation during awake fiberoptic intubation. Am J Ther 2010; 17:586-595.
25. Tsai CJ, Chu KS, Chen TI, et al. A comparison of the effectiveness of dexmedetomidine versus propofol target-controlled infusion for sedation during fibreoptic nasotracheal intubation. Anaesthesia 2010; 65:254-259.
26. Ryu JH, Lee SW, Lee JH, et al. Randomized double-blind study of remifentanil and dexmedetomidine for flexible bronchoscopy. Br J Anaesth 2012; 10:1-9.
27. Stone HH, Dominy DE. Transtracheal injection as an adjunct to bronchoscopy. Am Surg 1963; 29:142-144.
28. Du Rand IA, Blaikley J, Booton R, et al., on behalf of the British Thoracic Society Bronchoscopy Guideline Group. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE. Thorax 2013; 68:i1-i44.
29. Sutherland AD, Williams RT. Cardiovascular responses and lidocaine absorption in fiberoptic-assisted awake intubation. Anesth Analg 1986; 65:389-391.
30. Efthimiou J, Higenbottam T, Holt D, Cochrane GM. Plasma concentrations of lignocaine during fibreoptic bronchoscopy. Thorax 1982; 37:68-71.
31. Finfer SR, MacKenzie SIP, Saddler JM, Watkins TGL. Cardiovascular responses to tracheal intubation: a comparison of direct laryngoscopy and fibreoptic intubation. Anaesth Intensive Care 1989; 17:44-48.
32. Smith JE. Heart rate and arterial pressure changes during fibreoptic tracheal intubation under general anaesthesia. Anaesthesia 1988; 43:629-632.