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环甲膜利多卡因作为纤维支气管镜检查辅助局部麻醉的疗效评估。

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

作者信息

Hamad S, Al-Alawi M, Devaney N, Subramaniam A, Lane S

机构信息

Department of Respiratory Medicine, AMNCH Hospital, Tallaght, Dublin, 24, Ireland,

出版信息

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

DOI:10.1007/s11845-014-1099-y
PMID:24633440
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.

摘要

引言

通过静脉镇静和声带麻醉可实现柔性支气管镜检查期间患者舒适度的优化。

方法

研究了经环状软骨注射利多卡因在操作便利性和咳嗽频率方面的效果。进行了一项单盲研究,并使用两个视觉模拟量表作为疗效指标。治疗组在年龄、性别和利多卡因给药总量方面进行了匹配。

结果

结果突出显示,在操作便利性(p < 0.0001)和操作期间咳嗽频率(p < 0.0001)方面有显著改善。

结论

该研究结果表明,经环状软骨注射利多卡因可为柔性支气管镜检查的麻醉提供一种安全辅助手段。

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British Thoracic Society guideline for advanced diagnostic and therapeutic flexible bronchoscopy in adults.英国胸科学会成人高级诊断与治疗性可弯曲支气管镜检查指南。
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