Local anaesthetic toxicity during an awake tracheal intubation course

Autor:	P. Chiam, F. Pearson
Rok vydání:	2020
Předmět:	Local anaesthetic Lidocaine business.industry medicine.medical_treatment Training course Local anaesthetic toxicity Tracheal intubation Energy Engineering and Power Technology Case Reports respiratory system Fuel Technology Anesthesia Medicine Airway business Difficult airway medicine.drug
Zdroj:	Anaesth Rep
ISSN:	2637-3726
DOI:	10.1002/anr3.12033
Popis:	We report a case of local anaesthetic toxicity in an anaesthetic trainee participating as a subject for an awake tracheal intubation training course. The trainee experienced symptoms of toxicity despite the dose of lidocaine administered being less than the maximum safe dose recommended for airway topicalisation. We argue this highlights the variability in absorption of local anaesthetic and the importance of safety during awake tracheal intubation training courses. It is essential to use the minimum safe dose of local anaesthetic required during topicalisation for awake tracheal intubation. We have now made it our course policy that participants cannot undergo awake tracheal intubation less than 2 weeks before a period of coryzal illness. We recommend that operators remain vigilant for signs of local anaesthetic toxicity when undertaking this procedure and adhere to newly published Difficult Airway Society awake tracheal intubation guidelines.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4fa07b78b472598ff4e7a6021c421262 https://doi.org/10.1002/anr3.12033 Zobrazit plný text záznamu Plný text