Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons

Walid Youssef Youssef Kamel; Amr Mohammed Hilal Abdou; Eman Mohammed Kamal Aboseif

doi:doi:10.11648/j.ijacm.20190702.11

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Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons

Walid Youssef Youssef Kamel, Amr Mohammed Hilal Abdou, Eman Mohammed Kamal Aboseif

Published in International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)

Received: 29 July 2019 Accepted: 3 September 2019 Published: 16 September 2019

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Abstract

Introduction: The patients presented for airway surgery either an elderly patients with coexisting disease or young children for foreign body removal. Multiple challenges for safe anaesthesia in that patient population are available. Block of the superior laryngeal nerves bilaterally, along with translaryngeal injection of local anaesthetic, provides anaesthesia of the airway from the infraglottic area to the epiglottis. Additional topical application of local anesthetic to the oral, along with appropriate sedation, by fentayl and propofol provides satisfactory analgesia for endoscopic procedures The glossopharyngeal nerve (i.e., cranial nerve IX) supplies sensation to the posterior third of the tongue, the pharynx, and the superior surface of the epiglottism. Methods: The level of sedation was recorded using Ramsay sedation score. The time of the block, duration of the procedure were also recorded. Arterial blood gases (ABG) was withdrawn after the beginning of the procedure and by the end of the procedure and recorded, event of desaturation as well, The operator and the patients’ satisfaction were also assessed. After the end of the procedure the patients were admitted to recovery room till gag and cough reflexes regained and by the time the patients were reporting that they became no more feeling numbness, clear fluid were started. Results: The mean Duration of procedure, Time of block and Amount of sedation was 44.7±24.06 min, 15.2±3.05 min, and 18.9±10.2 ml respectively. tracheal biopsy was the most common procedure done (40%). In all the patients the Ventilation were Spontaneous and Stable all through the procedure. Arterial blood gases were normal in all the cases. no statistical significance between the depth of the sedation and patients satisfaction but there was statistical significance between the level of the sedation and the operator satisfaction. The mean recovery time from the end of the procedures till the patients fully awake, and hospital stay was 3.5±2.6 min, and 2.2±0.42 hr respectively. No Postoperative complications were recorded. 90% of the Patients were satisfied, while operator satisfaction was 60%. Conclusion: Airway block with sedation is a safe and reliable practice for high risks patients scheduled for interventional bronchoscopic procedures on a day case basis.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)
DOI	10.11648/j.ijacm.20190702.11
Page(s)	31-36
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Airway, Local, Block, Complications, Rigid, Bronchoscopy

References

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Walid Youssef Youssef Kamel, Amr Mohammed Hilal Abdou, Eman Mohammed Kamal Aboseif. (2019). Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons. International Journal of Anesthesia and Clinical Medicine, 7(2), 31-36. https://doi.org/10.11648/j.ijacm.20190702.11

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ACS Style

Walid Youssef Youssef Kamel; Amr Mohammed Hilal Abdou; Eman Mohammed Kamal Aboseif. Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons. Int. J. Anesth. Clin. Med. 2019, 7(2), 31-36. doi: 10.11648/j.ijacm.20190702.11

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AMA Style

Walid Youssef Youssef Kamel, Amr Mohammed Hilal Abdou, Eman Mohammed Kamal Aboseif. Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons. Int J Anesth Clin Med. 2019;7(2):31-36. doi: 10.11648/j.ijacm.20190702.11

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@article{10.11648/j.ijacm.20190702.11,
  author = {Walid Youssef Youssef Kamel and Amr Mohammed Hilal Abdou and Eman Mohammed Kamal Aboseif},
  title = {Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {7},
  number = {2},
  pages = {31-36},
  doi = {10.11648/j.ijacm.20190702.11},
  url = {https://doi.org/10.11648/j.ijacm.20190702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.11},
  abstract = {Introduction: The patients presented for airway surgery either an elderly patients with coexisting disease or young children for foreign body removal. Multiple challenges for safe anaesthesia in that patient population are available. Block of the superior laryngeal nerves bilaterally, along with translaryngeal injection of local anaesthetic, provides anaesthesia of the airway from the infraglottic area to the epiglottis. Additional topical application of local anesthetic to the oral, along with appropriate sedation, by fentayl and propofol provides satisfactory analgesia for endoscopic procedures The glossopharyngeal nerve (i.e., cranial nerve IX) supplies sensation to the posterior third of the tongue, the pharynx, and the superior surface of the epiglottism. Methods: The level of sedation was recorded using Ramsay sedation score. The time of the block, duration of the procedure were also recorded. Arterial blood gases (ABG) was withdrawn after the beginning of the procedure and by the end of the procedure and recorded, event of desaturation as well, The operator and the patients’ satisfaction were also assessed. After the end of the procedure the patients were admitted to recovery room till gag and cough reflexes regained and by the time the patients were reporting that they became no more feeling numbness, clear fluid were started. Results: The mean Duration of procedure, Time of block and Amount of sedation was 44.7±24.06 min, 15.2±3.05 min, and 18.9±10.2 ml respectively. tracheal biopsy was the most common procedure done (40%). In all the patients the Ventilation were Spontaneous and Stable all through the procedure. Arterial blood gases were normal in all the cases. no statistical significance between the depth of the sedation and patients satisfaction but there was statistical significance between the level of the sedation and the operator satisfaction. The mean recovery time from the end of the procedures till the patients fully awake, and hospital stay was 3.5±2.6 min, and 2.2±0.42 hr respectively. No Postoperative complications were recorded. 90% of the Patients were satisfied, while operator satisfaction was 60%. Conclusion: Airway block with sedation is a safe and reliable practice for high risks patients scheduled for interventional bronchoscopic procedures on a day case basis.},
 year = {2019}
}

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TY  - JOUR
T1  - Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons
AU  - Walid Youssef Youssef Kamel
AU  - Amr Mohammed Hilal Abdou
AU  - Eman Mohammed Kamal Aboseif
Y1  - 2019/09/16
PY  - 2019
N1  - https://doi.org/10.11648/j.ijacm.20190702.11
DO  - 10.11648/j.ijacm.20190702.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 31
EP  - 36
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20190702.11
AB  - Introduction: The patients presented for airway surgery either an elderly patients with coexisting disease or young children for foreign body removal. Multiple challenges for safe anaesthesia in that patient population are available. Block of the superior laryngeal nerves bilaterally, along with translaryngeal injection of local anaesthetic, provides anaesthesia of the airway from the infraglottic area to the epiglottis. Additional topical application of local anesthetic to the oral, along with appropriate sedation, by fentayl and propofol provides satisfactory analgesia for endoscopic procedures The glossopharyngeal nerve (i.e., cranial nerve IX) supplies sensation to the posterior third of the tongue, the pharynx, and the superior surface of the epiglottism. Methods: The level of sedation was recorded using Ramsay sedation score. The time of the block, duration of the procedure were also recorded. Arterial blood gases (ABG) was withdrawn after the beginning of the procedure and by the end of the procedure and recorded, event of desaturation as well, The operator and the patients’ satisfaction were also assessed. After the end of the procedure the patients were admitted to recovery room till gag and cough reflexes regained and by the time the patients were reporting that they became no more feeling numbness, clear fluid were started. Results: The mean Duration of procedure, Time of block and Amount of sedation was 44.7±24.06 min, 15.2±3.05 min, and 18.9±10.2 ml respectively. tracheal biopsy was the most common procedure done (40%). In all the patients the Ventilation were Spontaneous and Stable all through the procedure. Arterial blood gases were normal in all the cases. no statistical significance between the depth of the sedation and patients satisfaction but there was statistical significance between the level of the sedation and the operator satisfaction. The mean recovery time from the end of the procedures till the patients fully awake, and hospital stay was 3.5±2.6 min, and 2.2±0.42 hr respectively. No Postoperative complications were recorded. 90% of the Patients were satisfied, while operator satisfaction was 60%. Conclusion: Airway block with sedation is a safe and reliable practice for high risks patients scheduled for interventional bronchoscopic procedures on a day case basis.
VL  - 7
IS  - 2
ER  -

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Author Information

Walid Youssef Youssef Kamel

Department of Anesthesia, ICU and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Amr Mohammed Hilal Abdou

Department of Anesthesia, ICU and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Eman Mohammed Kamal Aboseif

Department of Anesthesia, ICU and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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APA Style

Walid Youssef Youssef Kamel, Amr Mohammed Hilal Abdou, Eman Mohammed Kamal Aboseif. (2019). Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons. International Journal of Anesthesia and Clinical Medicine, 7(2), 31-36. https://doi.org/10.11648/j.ijacm.20190702.11

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ACS Style

Walid Youssef Youssef Kamel; Amr Mohammed Hilal Abdou; Eman Mohammed Kamal Aboseif. Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons. Int. J. Anesth. Clin. Med. 2019, 7(2), 31-36. doi: 10.11648/j.ijacm.20190702.11

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AMA Style

Walid Youssef Youssef Kamel, Amr Mohammed Hilal Abdou, Eman Mohammed Kamal Aboseif. Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons. Int J Anesth Clin Med. 2019;7(2):31-36. doi: 10.11648/j.ijacm.20190702.11

Copy | Download

@article{10.11648/j.ijacm.20190702.11,
  author = {Walid Youssef Youssef Kamel and Amr Mohammed Hilal Abdou and Eman Mohammed Kamal Aboseif},
  title = {Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {7},
  number = {2},
  pages = {31-36},
  doi = {10.11648/j.ijacm.20190702.11},
  url = {https://doi.org/10.11648/j.ijacm.20190702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.11},
  abstract = {Introduction: The patients presented for airway surgery either an elderly patients with coexisting disease or young children for foreign body removal. Multiple challenges for safe anaesthesia in that patient population are available. Block of the superior laryngeal nerves bilaterally, along with translaryngeal injection of local anaesthetic, provides anaesthesia of the airway from the infraglottic area to the epiglottis. Additional topical application of local anesthetic to the oral, along with appropriate sedation, by fentayl and propofol provides satisfactory analgesia for endoscopic procedures The glossopharyngeal nerve (i.e., cranial nerve IX) supplies sensation to the posterior third of the tongue, the pharynx, and the superior surface of the epiglottism. Methods: The level of sedation was recorded using Ramsay sedation score. The time of the block, duration of the procedure were also recorded. Arterial blood gases (ABG) was withdrawn after the beginning of the procedure and by the end of the procedure and recorded, event of desaturation as well, The operator and the patients’ satisfaction were also assessed. After the end of the procedure the patients were admitted to recovery room till gag and cough reflexes regained and by the time the patients were reporting that they became no more feeling numbness, clear fluid were started. Results: The mean Duration of procedure, Time of block and Amount of sedation was 44.7±24.06 min, 15.2±3.05 min, and 18.9±10.2 ml respectively. tracheal biopsy was the most common procedure done (40%). In all the patients the Ventilation were Spontaneous and Stable all through the procedure. Arterial blood gases were normal in all the cases. no statistical significance between the depth of the sedation and patients satisfaction but there was statistical significance between the level of the sedation and the operator satisfaction. The mean recovery time from the end of the procedures till the patients fully awake, and hospital stay was 3.5±2.6 min, and 2.2±0.42 hr respectively. No Postoperative complications were recorded. 90% of the Patients were satisfied, while operator satisfaction was 60%. Conclusion: Airway block with sedation is a safe and reliable practice for high risks patients scheduled for interventional bronchoscopic procedures on a day case basis.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Airway Block for Interventional Rigid Bronchoscopy ….. Pros and Cons
AU  - Walid Youssef Youssef Kamel
AU  - Amr Mohammed Hilal Abdou
AU  - Eman Mohammed Kamal Aboseif
Y1  - 2019/09/16
PY  - 2019
N1  - https://doi.org/10.11648/j.ijacm.20190702.11
DO  - 10.11648/j.ijacm.20190702.11
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 31
EP  - 36
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20190702.11
AB  - Introduction: The patients presented for airway surgery either an elderly patients with coexisting disease or young children for foreign body removal. Multiple challenges for safe anaesthesia in that patient population are available. Block of the superior laryngeal nerves bilaterally, along with translaryngeal injection of local anaesthetic, provides anaesthesia of the airway from the infraglottic area to the epiglottis. Additional topical application of local anesthetic to the oral, along with appropriate sedation, by fentayl and propofol provides satisfactory analgesia for endoscopic procedures The glossopharyngeal nerve (i.e., cranial nerve IX) supplies sensation to the posterior third of the tongue, the pharynx, and the superior surface of the epiglottism. Methods: The level of sedation was recorded using Ramsay sedation score. The time of the block, duration of the procedure were also recorded. Arterial blood gases (ABG) was withdrawn after the beginning of the procedure and by the end of the procedure and recorded, event of desaturation as well, The operator and the patients’ satisfaction were also assessed. After the end of the procedure the patients were admitted to recovery room till gag and cough reflexes regained and by the time the patients were reporting that they became no more feeling numbness, clear fluid were started. Results: The mean Duration of procedure, Time of block and Amount of sedation was 44.7±24.06 min, 15.2±3.05 min, and 18.9±10.2 ml respectively. tracheal biopsy was the most common procedure done (40%). In all the patients the Ventilation were Spontaneous and Stable all through the procedure. Arterial blood gases were normal in all the cases. no statistical significance between the depth of the sedation and patients satisfaction but there was statistical significance between the level of the sedation and the operator satisfaction. The mean recovery time from the end of the procedures till the patients fully awake, and hospital stay was 3.5±2.6 min, and 2.2±0.42 hr respectively. No Postoperative complications were recorded. 90% of the Patients were satisfied, while operator satisfaction was 60%. Conclusion: Airway block with sedation is a safe and reliable practice for high risks patients scheduled for interventional bronchoscopic procedures on a day case basis.
VL  - 7
IS  - 2
ER  -

Copy | Download