1. Clinical Application of Ultrasound-Guided Internal Branch of Superior Laryngeal Nerve Block in Patients with Severe COPD Undergoing Awake Fibreoptic Nasotracheal Intubation: A Randomized Controlled Clinical Trial
- Author
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Wang,Yongbin, Feng,Chang, Fu,Jia, Liu,Dongyi, Wang,Yongbin, Feng,Chang, Fu,Jia, and Liu,Dongyi
- Abstract
Yongbin Wang,1 Chang Feng,2 Jia Fu,2 Dongyi Liu2 1Department of Respiratory Medicine, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Peopleâs Republic of China; 2Department of Anesthesiology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Peopleâs Republic of ChinaCorrespondence: Dongyi Liu, Department of Anesthesiology, The Second Hospital, Cheeloo College of Medicine, Shandong University, 247 Bei Yuan Street, Jinan, 250033, Peopleâs Republic of China, Tel +86-17660085565, Email dyjn2011@126.comPurpose: The aim was to investigate the time for intubation, adverse events and the comfort score of ultrasound-guided internal branch of superior laryngeal nerve block in patients with severe chronic obstructive pulmonary disorder (COPD) undergoing awake fibreoptic nasotracheal intubation.Methods: Sixty patients with COPD who needed awake fibreoptic nasotracheal intubation were randomly and evenly divided into the ultrasound-guided internal branch of the superior laryngeal nerve block group (group S) and the control group (group C). All patients received procedural sedation with dexmedetomidine and adequate topical anaesthesia of the upper respiratory tract. Then, bilateral block was performed (with 2 mL of 2% lidocaine or the same volume of saline) followed by fibreoptic nasotracheal intubation. The primary outcomes were time for intubation, adverse reactions and comfort score. The secondary outcomes were haemodynamic changes and serum norepinephrine (NE) and adrenaline (AD) concentrations immediately before intubation (T0); immediately after intubation to the laryngopharynx (T1); and immediately (T2), 5 min (T3) and 10 min (T4) after intubation between the groups.Results: Compared with group C, the time for intubation, the incidence of adverse reactions and the comfort score in group S were significantly lower (P< 0.01). Compared with T0, the mean arterial pressure (MAP), heart rate (HR), NE and AD wer
- Published
- 2023