Mahiou P, Ecoffey C
Département d'Anesthésiologie, Hôpital Raymond-Poincaré, Garches.
Ann Fr Anesth Reanim. 1988;7(4):333-5. doi: 10.1016/s0750-7658(88)80036-4.
Most laryngoscopies with diagnostic biopsies are usually carried out under general anaesthesia. Multiple laryngotracheal blocks were used in the patient reported; this 55 year old man presented with cachexia and a history of severe angina, myocardial infarction, arterial hypertension and chronic bronchitis. The different nerve blocks were carried out with a total of 2 mg.kg-1 lignocaine: the superior laryngeal nerve trunk, the internal laryngeal nerve, the trachea (by an intratracheal injection) and the tongue (using a lignocaine gel). The whole procedure was well tolerated by the patient. The advantages and disadvantages of this technique are discussed.
大多数进行诊断性活检的喉镜检查通常在全身麻醉下进行。报告的该患者使用了多次喉气管阻滞；这位55岁的男性表现出恶病质，并有严重心绞痛、心肌梗死、动脉高血压和慢性支气管炎病史。总共使用2mg·kg-1的利多卡因进行不同的神经阻滞：喉上神经干、喉内神经、气管（通过气管内注射）和舌（使用利多卡因凝胶）。患者对整个操作耐受良好。讨论了该技术的优缺点。
