AWAKE LARYNGOSCOPY IN THE EMERGENCY DEPARTMENT

被引：10

作者：

Tonna, Joseph E. ^{[1
,2
]}

DeBlieux, Peter M. C. ^{[3
,4
]}

机构：

[1] Univ Utah, Sch Med, Dept Surg, Div Cardiothorac Surg, 30 N 1900 E,3C127, Salt Lake City, UT 84132 USA

[2] Univ Utah, Sch Med, Dept Surg, Div Emergency Med, 30 N 1900 E,3C127, Salt Lake City, UT 84132 USA

[3] Louisiana State Univ, Sect Emergency Med, Dept Med, Sch Med, New Orleans, LA USA

[4] Louisiana State Univ, Sect Pulm & Crit Care, Dept Med, Sch Med, New Orleans, LA USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2017年 / 52卷 / 03期

关键词：

laryngoscopy; awake look; awake intubation; airway management; UPRIGHT LARYNGOSCOPY; TRACHEAL INTUBATION; C-MAC; LIDOCAINE; ANESTHESIA; AIRWAY; SPRAY; 2-PERCENT; 4-PERCENT; COCAINE;

D O I：

10.1016/j.jemermed.2016.11.013

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Many emergency physicians gain familiarity with the laryngeal anatomy only during the brief view achieved during rapid sequence induction and intubation. Awake laryngoscopy in the emergency department (ED) is an important and clinically underutilized procedure. Discussion: Providing benefit to the emergency physician through a slow, controlled, and deliberate examination of the airway, awake laryngoscopy facilitates confidence in the high-risk airway and eases the evolution to intubation, should it be required. Emergency physicians possess all the tools and skills required to effectively perform this procedure, through either the flexible endoscopic or rigid approaches. The procedure can be conducted utilizing local anesthesia with or without mild sedation, such that patients protect their airway. Conclusion: We discuss two clinical scenarios, indications/contraindications, patient selection, and steps to performing two approaches to awake laryngoscopy in the ED. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：324 / 331

页数：8

共 21 条

[11]

Miller RD, 2014, AIRWAY MANAGEMENT AD

[12]

NYDAHL PA, 1988, ACTA ANAESTH SCAND, V32, P135

[13] Glide Scope Versus Flexible Fiber Optic for Awake Upright Laryngoscopy [J].

Silverton, Natalie A. ;

Youngquist, Scott T. ;

Mallin, Michael P. ;

Bledsoe, Joseph R. ;

Barton, Erik D. ;

Schroeder, Erika D. ;

Bledsoe, Amber D. ;

Axelrod, Deborah A. .

ANNALS OF EMERGENCY MEDICINE, 2012, 59 (03) :159-164

[14]

STOELTING RK, 1977, ANESTH ANALG, V56, P618

[15] A COMPARISON OF COCAINE VS LIDOCAINE WITH OXYMETAZOLINE FOR USE IN NASAL PROCEDURES [J].

TARVER, CP ;

NOORILY, AD ;

SAKAI, CS .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1993, 109 (04) :653-659

[16] EFFECTS OF AEROSOLIZED LIDOCAINE ON CIRCULATORY RESPONSES TO LARYNGOSCOPY AND TRACHEAL INTUBATION [J].

VENUS, B ;

POLASSANI, V ;

PHAM, CG .

CRITICAL CARE MEDICINE, 1984, 12 (04) :391-394

[17] The High-Risk Airway [J].

Vissers, Robert J. ;

Gibbs, Michael A. .

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2010, 28 (01) :203-+

[18] Airway topicalisation in morbidly obese patients using atomised lidocaine: 2% compared with 4% [J].

Wieczorek, P. M. ;

Schricker, T. ;

Vinet, B. ;

Backman, S. B. .

ANAESTHESIA, 2007, 62 (10) :984-988

[19] Combined nebulization and spray-as-you-go topical local anaesthesia of the airway [J].

Williams, KA ;

Barker, GL ;

Harwood, RJ ;

Woodall, NM .

BRITISH JOURNAL OF ANAESTHESIA, 2005, 95 (04) :549-553

[20] Spray-As-You-Go Airway Topical Anesthesia in Patients with a Difficult Airway: A Randomized, Double-Blind Comparison of 2% and 4% Lidocaine [J].

Xue, Fu S. ;

Liu, He P. ;

He, Nong ;

Xu, Ya C. ;

Yang, Quan Y. ;

Liao, Xu ;

Xu, Xiu Z. ;

Guo, Xin L. ;

Zhang, Yan M. .

ANESTHESIA AND ANALGESIA, 2009, 108 (02) :536-543

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