Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 May 2023
01 May 2023
Historique:
medline:
11
5
2023
pubmed:
9
5
2023
entrez:
9
5
2023
Statut:
epublish
Résumé
A peripheral nerve block may be used to improve patient tolerance of awake intubation. During an awake intubation, the glossopharyngeal, superior laryngeal, and recurrent laryngeal nerves can mediate discomfort, pain, cough, glottic closure, and gag reflexes. We describe the use of ultrasound-guided superior laryngeal, recurrent laryngeal, and glossopharyngeal nerve blocks to facilitate awake intubation in a patient predicted to have a difficult airway. The glossopharyngeal nerve block was performed via the parapharyngeal space approach targeting the distal glossopharyngeal nerve. This procedure resulted in an uneventful awake intubation.
Identifiants
pubmed: 37159909
doi: 10.1213/XAA.0000000000001682
pii: 02054229-202305000-00006
pmc: PMC10219664
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01682Informations de copyright
Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Law JA, Duggan LV, Asselin M, et al. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway. Can J Anesth. 2021;68:1405–1436.
Apfelbaum JL, Hagberg CA, Connis RT, et al. 2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway. Anesthesiology. 2022;136:31–81.
Mohanta J, Kumar A, Kaushal A, Talawar P, Gupta P, Jain G. Anaesthesia for awake fiberoptic intubation: ultrasound-guided airway nerve block versus ultrasonic nebulisation with lignocaine. Discoveries (Craiova). 2021;9:e125.
Doyle DJ. Airway anesthesia: theory and practice. Anesthesiol Clin. 2015;33:291–304.
Pani N, Kumar Rath S. Regional and topical anaesthesia of upper airways. Indian J Anaesth. 2009;53:641–648.
Mathur PR, Jain N, Kumar A, Thada B, Mathur V, Garg D. Comparison between lignocaine nebulization and airway nerve block for awake fiberoptic bronchoscopy-guided nasotracheal intubation: a single-blind randomized prospective study. Korean J Anesthesiol. 2018;71:120–126.
Chatrath V, Sharan R, Jain P, Bala A, Ranjana S. The efficacy of combined regional nerve blocks in awake orotracheal fiberoptic intubation. Anesth Essays Res. 2016;10:255–261.
Ažman J, Stopar Pintaric T, Cvetko E, Vlassakov K. Ultrasound-guided glossopharyngeal nerve block: a cadaver and a volunteer sonoanatomy study. Reg Anesth Pain Med. 2017;42:252–258.
Liu Q, Zhong Q, Tang G, He G. Ultrasound-guided glossopharyngeal nerve block via the styloid process for glossopharyngeal neuralgia: a retrospective study. J Pain Res. 2019;12:2503–2510.
Bedder MD, Lindsay D. Glossopharyngeal nerve block using ultrasound guidance: a case report of a new technique. Reg Anesth. 1989;14:304–307.
Punj J, Sundaram S. Ultrasound-guided glossopharyngeal nerve block: description of a new technique. J Anaesthesiol Clin Pharmacol. 2021;37:483–485.
Sirohiya P, Kumar V, Yadav P, Bharti SJ. Ultrasound-guided glossopharyngeal nerve block at pharyngeal wall level in a patient with carcinoma tongue. Indian J Palliat Care. 2020;26:140–141.
Manoharan D, Bharati SJ, Yadav MK. A novel technique of ultrasound-guided glossopharyngeal nerve block to relieve cancer pain. Saudi J Anaesth. 2019;13:279–280.
Sundaram S, Punj J. Randomized controlled trial comparing landmark and ultrasound-guided glossopharyngeal nerve in eagle syndrome. Pain Med. 2020;21:1208–1215.