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Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response

BACKGROUND AND AIMS: Tracheal extubation is associated with various undesirable hemodynamic and airway responses. Various drugs are used effectively to curb these responses. But these drugs have limitations and produce side effects. Hence, the study was planned to assess the effects of superior lary...

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Autores principales: Jadhav, Kashinath K., Karnalkar, Asmita P., Patil, Shailendra B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511865/
https://www.ncbi.nlm.nih.gov/pubmed/36171949
http://dx.doi.org/10.4103/joacp.JOACP_113_20
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author Jadhav, Kashinath K.
Karnalkar, Asmita P.
Patil, Shailendra B.
author_facet Jadhav, Kashinath K.
Karnalkar, Asmita P.
Patil, Shailendra B.
author_sort Jadhav, Kashinath K.
collection PubMed
description BACKGROUND AND AIMS: Tracheal extubation is associated with various undesirable hemodynamic and airway responses. Various drugs are used effectively to curb these responses. But these drugs have limitations and produce side effects. Hence, the study was planned to assess the effects of superior laryngeal nerve block with inline lignocaine nebulization on awake extubation responses to suggest an alternative. The aim of this study was to assess the effect of bilateral superior laryngeal nerve block with inline lignocaine nebulization on awake extubation responses. MATERIAL AND METHODS: A study was conducted in 35 patients aged 18-60 years, posted for surgery less than 3 h under general anesthesia. The hemodynamic responses like heart rate, arterial blood pressure, and mean arterial pressure were recorded preoperatively and at 1, 5, and 10 min postextubation. Undesirable respiratory responses like bucking, severity of sore throat, and cough response were also assessed. Repeated measures analysis of variance followed by the Tukey HSD test was used to find the significance of hemodynamic parameters. Qualitative data were expressed as percentages. RESULTS: Decrease in Systolic Blood Pressure, Diastolic Blood Pressure and Mean Arterial Pressure was statistically significant at 5 mins (T2) and 10 mins (T3) postextubation as compared to baseline (T0). No cough was observed postextubation in 80% patients while 20% had mild Grade 1 cough. CONCLUSION: Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation is effective in curbing the haemodynamic and respiratory responses of extubation.
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spelling pubmed-95118652022-09-27 Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response Jadhav, Kashinath K. Karnalkar, Asmita P. Patil, Shailendra B. J Anaesthesiol Clin Pharmacol Original Article BACKGROUND AND AIMS: Tracheal extubation is associated with various undesirable hemodynamic and airway responses. Various drugs are used effectively to curb these responses. But these drugs have limitations and produce side effects. Hence, the study was planned to assess the effects of superior laryngeal nerve block with inline lignocaine nebulization on awake extubation responses to suggest an alternative. The aim of this study was to assess the effect of bilateral superior laryngeal nerve block with inline lignocaine nebulization on awake extubation responses. MATERIAL AND METHODS: A study was conducted in 35 patients aged 18-60 years, posted for surgery less than 3 h under general anesthesia. The hemodynamic responses like heart rate, arterial blood pressure, and mean arterial pressure were recorded preoperatively and at 1, 5, and 10 min postextubation. Undesirable respiratory responses like bucking, severity of sore throat, and cough response were also assessed. Repeated measures analysis of variance followed by the Tukey HSD test was used to find the significance of hemodynamic parameters. Qualitative data were expressed as percentages. RESULTS: Decrease in Systolic Blood Pressure, Diastolic Blood Pressure and Mean Arterial Pressure was statistically significant at 5 mins (T2) and 10 mins (T3) postextubation as compared to baseline (T0). No cough was observed postextubation in 80% patients while 20% had mild Grade 1 cough. CONCLUSION: Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation is effective in curbing the haemodynamic and respiratory responses of extubation. Wolters Kluwer - Medknow 2022 2022-02-21 /pmc/articles/PMC9511865/ /pubmed/36171949 http://dx.doi.org/10.4103/joacp.JOACP_113_20 Text en Copyright: © 2022 Journal of Anaesthesiology Clinical Pharmacology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Jadhav, Kashinath K.
Karnalkar, Asmita P.
Patil, Shailendra B.
Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
title Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
title_full Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
title_fullStr Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
title_full_unstemmed Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
title_short Superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
title_sort superior laryngeal nerve block with in-line lignocaine nebulization for awake extubation response
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511865/
https://www.ncbi.nlm.nih.gov/pubmed/36171949
http://dx.doi.org/10.4103/joacp.JOACP_113_20
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