Comparison of Ultrasound / Anatomical landmark guided technique for superior laryngeal nerve block along with Topical Anesthesia for awake nasal intubation in various Oral& faciomaxillary & Dental surgeries
DOI:
https://doi.org/10.48165/ijabms.2022.243809Keywords:
Awake nasal intubation, anatomical landmark guided block, Superior laryngeal nerve block, Ultrasound assistance for blockAbstract
Background: Endotracheal intubation is gold standard of general anesthesia. various oral, Maxillofacial, Dental surgeries are carried out in high-risk patients having chances of difficult intubation. If we give sedation or general anesthesia, we can be trapped in critical airway accidents. Aims & objectives: To access & compare efficacy of anatomical landmark guided/ Ultrasound guided superior laryngeal nerve block associated with topical Anesthesia & transtracheal block for awake blind nasal intubation.Method: Group A: Anatomical landmark guided superior laryngeal nerve block given(n=30) Group B: ultrasound guided superior laryngeal nerve block(n=30) In both groups topical Anesthesia & transtracheal block for awake blind nasal intubation was given.Results: upper airway block provide clinical ease to facilitate blind nasal awake intubation. ultrasound guided block has less adverse reactions. Conclusion: Both methods provide good quality of Endotracheal intubation, but ultrasound guided block is more efficient & scientific method to block superior laryngeal nerve for awake nasal intubation.
References
Canadian Ariways. www.canadianairwayfoccusgroup.org
Ramkumar V. Preparation of the patient and airway for awake intubation. Indian J Anesthesia 2011;55(5):442-7.
Lallo A, Billard V, Bourgain JL. A comparison of propofol and remifentanil target controlled infusions to facilitate fiberoptic nasotracheal intubation. Anesth Analg 2009;108(3):852-7.
Ovassapian A, Yelich SJ, Dykes MH, et al. Blood pressure and heart rate changes during awake fiberoptic nasotracheal intubation. Anesth Analg 1983;62(10):9514.
Trivedi V, Patil B. Evaluation of airway blocks versus general anesthesia for diagnostic direct laryngoscopy and biopsy for carcinoma of the larynx. A study of 100 patients. Internet J Anesthesiol 2009;26:1.
Kundra P, Kutralam S, Ravishankar M. Local anesthesia for awake fiberoptic nasotracheal intubation. Acta Anaesthesiol Scand 2000;44(5):511-6.
Gupta B, Kohli S, Farooque K, et al. Topical airway anesthesia for awake fiberoptic intubation: comparison between airway nerve blocks and nebulized lignocaine by ultrasonic nebulizer. Saudi J Anaesth 2014;8(Suppl 1):S15-9.
Yu-Chen Liao, MD, Wei-Ciao Wu, MD, and Hsiao-Chien Tsai, MD Ultrasound-guided superior laryngeal nerve block assists in anesthesia for bronchoscopic surgical procedure A case report of anesthesia for rigid bronchoscopy Medicine (Baltimore). 2020 Jul 2;99(27): e20916.Published online 2020 Jul 2.
Uday S Ambi, BK Arjun, SY Hulakund Comparison of ultrasound and anatomical landmark-guided technique for superior laryngeal nerve block to aid awake fiber-optic intubation: A prospective randomized clinical study ,Indian J Anaesth. 2017 Jun; 61(6): 463– 468.
C.H. Hsu, T.C. Lin, C.C. Yeh, S.T. Ho, C.S. Wong, Convulsions during superior laryngeal nerve block-a case report, Acta Anaesthesiol. Sin. 38 (2000) 93e96.
T. Stopar-Pintaric, K. Vlassakov, J. Azman, E. Cvetko, The thyrohyoid membrane as a target for ultrasonography-guided block of the internal branch of the superior laryngeal nerve, J. Clin. Anesth. 27 (2015) 548e552
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Manisha Kapdi, Vatsal Patel, Roshni, Urvashi
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
