Acta Anaesthesiol Scand ; Comparison of the effect of lignocaine instilled through the endotracheal tube and intravenous lignocaine on the extubation response in patients undergoing craniotomy with skull pins: When used as an ETT cuff lubricant, lidocaine spray and jelly result in a significant increase in the incidence of cough and sore throat. IOP was measured in the non-operated eye previously prepared with lubricant eye drops 2 min before extubation and subsequently three times at 2, 5, 10 minutes after extubation using Schiotz tonometer The Diagnostic Company: Both groups showed significant increase in DBP at 2 minutes after extubation when compared to base line 2 min.
The volume of liquid injected into the cuff was not significantly different from the volume removed from the cuff 4.
Lidocaine sprayed down the endotracheal tube attenuates the airway-circulatory reflexes by local anesthesia during emergence and extubation. For avoidance of these complications, it is important to maintain IOP and cardiovascular condition at the end of general anesthesia, therefore, the aim of this study was to determine the effect of lidocaine instillstion into endotracheal tube before extubation on IOP and hemodynamics.
Lev R, Rosen P. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Please refer to this blog post for more information.
Author links open overlay panel Rosa M. Neither laryngospasm nor depression of the swallowing reflex occurred in any patient.
Soltani HA, Aghadavoudi O. The initial air volume was significantly greater than the liquid volume 5. The time passed after extubation till return the IOP to near base line was 10 minutes [ 14 ].
A randomized controlled double-blind trial.
One hour and 24 hours following extubation, patients were asked about the presence and severity of postoperative sore throat. Patients' ETT cuffs were inflated with either air or lidocaine. Hydroxyzine mg was administered orally 2 h before surgery. Patient randomization was performed using a computed list; the same investigator first author undertook the filling of the ETT cuffs, but was excluded from all other parts of the study i.
Gel lubrication of the tracheal tube cuff reduces pulmonary aspiration.
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Patients were randomized into one of the three groups: The plasma lidocaine concentrations in the two groups were similar Fig. Comparison of number of coughs and grading between groups Click here to view.
Nitrous oxide increases endotracheal cuff pressure and the incidence of tracheal lesions in anesthetized patients. If the action is by a local mucosal anesthetizing effect, it does not last for min to cover the period from pin removal to extubation.