Spray-as-you-go con lidocaína al 2% vs. 4% para intubación despierto con fibro en vía aérea difícil
Xue FS, Liu HP, He N, et al. Spray-as-you-go airway topical anesthesia in patients with a difficult airway: a randomized double-blind comparison of 2% and 4% lidocaine. Anesthesia & Analgesia 2009;108:536-43.
DOI:
https://doi.org/10.30445/rear.v2i11.541Palabras clave:
Anestesia general, anestesia inhalatoria, anestesia tópica, Farmacología, Fibrobroncoscopio, FIDIVA, intubación despierto, via aerea dificil, vía aéreaResumen
La topicalización con anestésicos locales (AL) resulta imprescindible en la preparación del paciente para la intubación traqueal con fibrobroncoscopio (FBC) en el paciente despierto. Frecuentemente se realiza administrando AL a través del canal de trabajo del FBC de forma selectiva bajo visión directa, denominándose spray-as-you-go.
Citas
1. Ovassapian A. Topical anesthesia of the airway. In: Ovassapian A, ed. Fiberoptic endoscopy and the difficult airway. 2nd ed. New York: Lippincott-Raven Press, Ltd., 1996:47-59.
2. Martin KM, Larsen PD, Segal R, Marsland CP. Effective nonanatomical endoscopy training procederes clinical airway endoscopy proficiency. Anesthesia & Analgesia 2004;99:938-44.
3. Williams KA, Barker GL, Harwood RJ, Woodall NM. Combined nebulization and spray-as-you-go topical local anaesthesia of the airway. British Journal of Anaesthesia 2005;95:549 -53.
4. Patil V, Barker GL, Harwood RJ, Woodall NM. Training course in local anaesthesia of the airway and fibreoptic intubation using course delegates as subjects. Br J Anaesth 2002;89:586-93.
5. Efthimiou J, Higenbottam T, Holt D, Cochrane GM. Plasma concentrations of lignocaine during fibreoptic bronchoscopy. Thorax 1982;37:68-71.
6. Milman N, Laub M, Munch EP, Angelo HR. Serum concentrations of lignocaine and its metabolite monoethylgly cinexylidide during fibreoptic bronchoscopy in local anaesthesia. Respiratory Medicine 1998;92:40 -3.
7. Woodall NM, Harwood RJ, Barker GL. Complications of awake fibreoptic intubation without sedation in 200 healthy anaesthetists attending a training course. British Journal of Anaesthesia 2008;100:850-5.
8. Woodruff C, Wieczorek PM, Schricker T, Vinet B, Backman SB. Atomised lidocaine for airway topical anaesthesia in the morbidly obese: 1% compared with 2%. Anaesthesia 2010;65:12-17.
9. Wieczorek PM, Backman SB. Airway topical anesthesia (Letter). Anesthesia & Analgesia 2009;109(3):991-2.
2. Martin KM, Larsen PD, Segal R, Marsland CP. Effective nonanatomical endoscopy training procederes clinical airway endoscopy proficiency. Anesthesia & Analgesia 2004;99:938-44.
3. Williams KA, Barker GL, Harwood RJ, Woodall NM. Combined nebulization and spray-as-you-go topical local anaesthesia of the airway. British Journal of Anaesthesia 2005;95:549 -53.
4. Patil V, Barker GL, Harwood RJ, Woodall NM. Training course in local anaesthesia of the airway and fibreoptic intubation using course delegates as subjects. Br J Anaesth 2002;89:586-93.
5. Efthimiou J, Higenbottam T, Holt D, Cochrane GM. Plasma concentrations of lignocaine during fibreoptic bronchoscopy. Thorax 1982;37:68-71.
6. Milman N, Laub M, Munch EP, Angelo HR. Serum concentrations of lignocaine and its metabolite monoethylgly cinexylidide during fibreoptic bronchoscopy in local anaesthesia. Respiratory Medicine 1998;92:40 -3.
7. Woodall NM, Harwood RJ, Barker GL. Complications of awake fibreoptic intubation without sedation in 200 healthy anaesthetists attending a training course. British Journal of Anaesthesia 2008;100:850-5.
8. Woodruff C, Wieczorek PM, Schricker T, Vinet B, Backman SB. Atomised lidocaine for airway topical anaesthesia in the morbidly obese: 1% compared with 2%. Anaesthesia 2010;65:12-17.
9. Wieczorek PM, Backman SB. Airway topical anesthesia (Letter). Anesthesia & Analgesia 2009;109(3):991-2.
Publicado
2010-11-30
Cómo citar
Díez, J., & García Aldao, U. (2010). Spray-as-you-go con lidocaína al 2% vs. 4% para intubación despierto con fibro en vía aérea difícil: Xue FS, Liu HP, He N, et al. Spray-as-you-go airway topical anesthesia in patients with a difficult airway: a randomized double-blind comparison of 2% and 4% lidocaine. Anesthesia & Analgesia 2009;108:536-43. Revista Electrónica AnestesiaR, 2(11), 3. https://doi.org/10.30445/rear.v2i11.541
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