Evaluation of the efficacy of transcricoid lignocaine as adjunctive local anaesthesia for fiberoptic bronchoscopy

Ir J Med Sci. 2015 Jun;184(2):273-6. doi: 10.1007/s11845-014-1099-y. Epub 2014 Mar 15.

Abstract

Introduction: Optimisation of patient comfort during flexible bronchoscopy is achieved with the use of intravenous sedation and vocal anaesthesia.

Methods: The effect of transcricoid lignocaine injection was investigated with regards to ease of procedure and frequency of cough. A single-blinded study was carried out and two visual analogue scales were used as markers of efficacy. Treatment groups were matched for age, gender and total dose of lignocaine administered.

Results: The results highlighted a significant improvement in the perceived ease of procedure (p < 0.0001) and frequency of coughing during the procedure (p < 0.0001).

Conclusion: The findings of the study demonstrate that the use of transcricoid injection of lignocaine provided a safe adjunct for anaesthesia in flexible bronchoscopy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Anesthesia, Local / methods*
  • Anesthetics, Local / administration & dosage*
  • Bronchoscopy / methods*
  • Cough / etiology
  • Cricoid Cartilage
  • Deep Sedation
  • Female
  • Fiber Optic Technology
  • Humans
  • Injections
  • Lidocaine / administration & dosage*
  • Male
  • Middle Aged
  • Single-Blind Method

Substances

  • Anesthetics, Local
  • Lidocaine