Korean J Anesthesiol.
2003 Oct;45(4):533-535. 10.4097/kjae.2003.45.4.533.
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
- Affiliations
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- 1Department of Anesthesiology, Kuro Hospital, College of Medicine, Korea University, Seoul, Korea. kkung7@unitel.co.kr
- KMID: 2299039
- DOI: http://doi.org/10.4097/kjae.2003.45.4.533
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.
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