Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis

Background: Awake fiber-optic nasal intubation is a gold standard management of difficult airway in temporal mandibular (TM) joint ankylosis. Aims and Objectives: We compared topical lignocaine nebulization with airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis....

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mohammad Sadiq Malla, Basharat Farooq, Rayees Najib, Sameena Ashraf
Formato:	article
Lenguaje:	EN
Publicado:	Manipal College of Medical Sciences, Pokhara 2021
Materias:	fiber-optic lignocaine nasal intubation nebulization nerve blocks Medicine R
Acceso en línea:	https://doi.org/10.3126/ajms.v12i12.39332 https://doaj.org/article/05af3bc68f6046318aafab6da083e56c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:05af3bc68f6046318aafab6da083e56c
record_format	dspace
spelling	oai:doaj.org-article:05af3bc68f6046318aafab6da083e56c2021-12-01T13:15:58ZComparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosishttps://doi.org/10.3126/ajms.v12i12.393322467-91002091-0576https://doaj.org/article/05af3bc68f6046318aafab6da083e56c2021-12-01T00:00:00Zhttps://www.nepjol.info/index.php/AJMS/article/view/39332https://doaj.org/toc/2467-9100https://doaj.org/toc/2091-0576Background: Awake fiber-optic nasal intubation is a gold standard management of difficult airway in temporal mandibular (TM) joint ankylosis. Aims and Objectives: We compared topical lignocaine nebulization with airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis. Materials and Methods: Fifty patients of either gender were randomly allocated into two groups of 25 each. Group I received 10 ml of 2% lignocaine nebulization over a period for 20 min. Group II received bilateral superior laryngeal nerve block and transtracheal recurrent laryngeal nerve block (each with 2 ml of 2% lignocaine). Awake fiber-optic bronchoscopy-guided nasal intubation was done in all patients. All the patients received sedation during the procedure. The intubation time, intubating conditions, vocal cord position, cough severity, and degree of patient satisfaction were recorded. Student’s t-test was used to analyze parametric data, while the Mann–Whitney U-test was applied to non-parametric data and Fisher’s test to categorical data. P<0.05 was considered statistically significant. Results: The time taken for intubation was significantly shorter in Group II [110.2 (14.6) s compared with Group I (211.0 [22.3] s) (P=0.028 ss). The intubating conditions and degree of patient comfort were better in Group II compared with Group I. Although all patients were successfully intubated, patient satisfaction was higher in Group II. Conclusion: Airway nerve block is a better way of anesthetizing airway as compared to nebulization for awake fiber-optic nasal intubation. However, nebulization with lignocaine may be an alternative in situations where nerve blocks are not feasible or may be used as an adjuvant to nerve blocks.Mohammad Sadiq Malla Basharat FarooqRayees Najib Sameena Ashraf Manipal College of Medical Sciences, Pokharaarticlefiber-opticlignocainenasal intubationnebulizationnerve blocksMedicineRENAsian Journal of Medical Sciences, Vol 12, Iss 12, Pp 73-77 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fiber-optic lignocaine nasal intubation nebulization nerve blocks Medicine R
spellingShingle	fiber-optic lignocaine nasal intubation nebulization nerve blocks Medicine R Mohammad Sadiq Malla Basharat Farooq Rayees Najib Sameena Ashraf Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis
description	Background: Awake fiber-optic nasal intubation is a gold standard management of difficult airway in temporal mandibular (TM) joint ankylosis. Aims and Objectives: We compared topical lignocaine nebulization with airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis. Materials and Methods: Fifty patients of either gender were randomly allocated into two groups of 25 each. Group I received 10 ml of 2% lignocaine nebulization over a period for 20 min. Group II received bilateral superior laryngeal nerve block and transtracheal recurrent laryngeal nerve block (each with 2 ml of 2% lignocaine). Awake fiber-optic bronchoscopy-guided nasal intubation was done in all patients. All the patients received sedation during the procedure. The intubation time, intubating conditions, vocal cord position, cough severity, and degree of patient satisfaction were recorded. Student’s t-test was used to analyze parametric data, while the Mann–Whitney U-test was applied to non-parametric data and Fisher’s test to categorical data. P<0.05 was considered statistically significant. Results: The time taken for intubation was significantly shorter in Group II [110.2 (14.6) s compared with Group I (211.0 [22.3] s) (P=0.028 ss). The intubating conditions and degree of patient comfort were better in Group II compared with Group I. Although all patients were successfully intubated, patient satisfaction was higher in Group II. Conclusion: Airway nerve block is a better way of anesthetizing airway as compared to nebulization for awake fiber-optic nasal intubation. However, nebulization with lignocaine may be an alternative in situations where nerve blocks are not feasible or may be used as an adjuvant to nerve blocks.
format	article
author	Mohammad Sadiq Malla Basharat Farooq Rayees Najib Sameena Ashraf
author_facet	Mohammad Sadiq Malla Basharat Farooq Rayees Najib Sameena Ashraf
author_sort	Mohammad Sadiq Malla
title	Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis
title_short	Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis
title_full	Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis
title_fullStr	Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis
title_full_unstemmed	Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis
title_sort	comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in tm joint ankylosis
publisher	Manipal College of Medical Sciences, Pokhara
publishDate	2021
url	https://doi.org/10.3126/ajms.v12i12.39332 https://doaj.org/article/05af3bc68f6046318aafab6da083e56c
work_keys_str_mv	AT mohammadsadiqmalla comparativeeffectivenessoftopicallignocainenebulizationandairwaynerveblocksforawakefiberopticnasalintubationintmjointankylosis AT basharatfarooq comparativeeffectivenessoftopicallignocainenebulizationandairwaynerveblocksforawakefiberopticnasalintubationintmjointankylosis AT rayeesnajib comparativeeffectivenessoftopicallignocainenebulizationandairwaynerveblocksforawakefiberopticnasalintubationintmjointankylosis AT sameenaashraf comparativeeffectivenessoftopicallignocainenebulizationandairwaynerveblocksforawakefiberopticnasalintubationintmjointankylosis
_version_	1718405097538453504

Comparative effectiveness of topical lignocaine nebulization and airway nerve blocks for awake fiber-optic nasal intubation in TM joint ankylosis

Ejemplares similares