Use of an Epidural Catheter Placed Through a Fiberoptic Bronchoscope for Topical Anesthesia of the Larynx and Trachea in a Case of Difficult Intubation: A case report.
10.4097/kjae.2003.45.4.533
- Author:
Hak Won KIM
1
;
Young Uk CHO
;
Il Ok LEE
;
Mi Keung LEE
;
Nan Suk KIM
;
Sang Ho LIM
Author Information
1. Department of Anesthesiology, Kuro Hospital, College of Medicine, Korea University, Seoul, Korea. kkung7@unitel.co.kr
- Publication Type:Case Report
- Keywords:
difficult intubation;
epidural catheter;
fiberoptic bronchoscope;
lidocaine
- MeSH:
Anesthesia*;
Anesthesia, Local;
Bronchoscopes*;
Catheters*;
Cough;
Humans;
Intubation*;
Laryngoscopy;
Larynx*;
Lidocaine;
Nausea;
Suction;
Trachea*
- From:Korean Journal of Anesthesiology
2003;45(4):533-535
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fiberoptic bronchoscope guided tracheal intubation is more popular in patient with expected difficult intubation by conventional laryngoscopy. We report a case of smooth fiberoptic bronchoscope guided tracheal intubation under local anesthesia. A 10% lidocaine spray 2-3 puffs of pharyngolaryngeal topical anesthesia and 2% lidocaine injection through a 19 gauge epidural catheter (ARROW(R)) placed over the fiberoptic bronchoscope suction channel for laryngeal and tracheal anesthesia were sufficient to prevent pain, coughing and nausea.
