-
Randomized Controlled Trial Comparative Study Clinical Trial
Pain during awake nasal intubation after topical cocaine or phenylephrine/lidocaine spray.
- D M Cara, A M Norris, and L J Neale.
- Northampton General Hospital, Cliftonville, Northampton NN1 5BD, UK.
- Anaesthesia. 2003 Aug 1;58(8):777-80.
AbstractAlthough several local anaesthetic techniques are described for nasal analgesia during awake intubation, there has been little attempt to evaluate their effectiveness. We examined pain scores associated with nasal intubation in a randomised cross-over study of 25 volunteers. Local anaesthesia consisted of topical aerosol spray using either cocaine 5% or Co-phenylcaine Forte (a proprietary mixture of phenylephrine hydrochloride 0.5% and lidocaine hydrochloride 5%), followed by lidocaine gel. Topical anaesthesia using an atomiser resulted in incomplete analgesia for insertion of nasopharyngeal airways. Larger diameter tubes resulted in higher pain scores. There was no difference in pain scores between the two drugs.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..