Transtracheal lignocaine: effective treatment for postextubation stridor.
Three cases of post-extubation stridor due to suspected laryngospasm are described in which a small dose of lignocaine injected intra-tracheally, through the cricothyroid membrane, produced rapid and effective relief of stridor with no early recurrence or side-effects. The procedure was performed safely and quickly and was well tolerated by patients. Trans-tracheal injection of local anaesthetic should be considered for treatment of post-extubation stridor in adults, so long as there is no risk of pulmonary aspiration, and pathological causes of laryngospasm have been excluded.
Lewis
K E
KE
Department of Anaesthesia, Sydney Adventist Hospital, Wahroonga, New South Wales, Australia.
D000328:Adult; D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007826:Laryngismus / Q000150:complications / Q000188:drug therapy*; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D012135:Respiratory Sounds / Q000187:drug effects* / Q000209:etiology
D000779:Anesthetics, Local; D008012:Lidocaine