Comparison of Ultrasound / Anatomical landmark guided technique for superior laryngeal nerve block along with Topical Anesthesia for awake nasal intubation in various Oral& faciomaxillary & Dental surgeries

Manisha  Kapdi; Vatsal  Patel; Roshni; Urvashi

doi:10.48165/ijabms.2022.243809

Authors

Manisha Kapdi Associate professor Department of Anesthesia ,AMCMET college Ahmedabad, Ex Associate professor of Anesthesia, NHLMMC Ahmedabad & LG Hospital , Maninagar Ahmedabad pin 380008
Vatsal Patel ASSISTANT PROF Assistant professor of Anesthesia NHLMMC, Ahmedabad
Roshni Resident Department of Anesthesia ,AMCMET college Ahmedabad, Ex Associate professor of Anesthesia, NHLMMC Ahmedabad & LG Hospital , Maninagar Ahmedabad pin 380008
Urvashi Resident Department of Anesthesia ,AMCMET college Ahmedabad, Ex Associate professor of Anesthesia, NHLMMC Ahmedabad & LG Hospital , Maninagar Ahmedabad pin 380008

DOI:

https://doi.org/10.48165/ijabms.2022.243809

Keywords:

Awake nasal intubation, anatomical landmark guided block, Superior laryngeal nerve block, Ultrasound assistance for block

Abstract

Background: Endotracheal intubation is gold standard of general anesthesia. various oral, Maxillofacial, Dental surgeries are carried out in high-risk patients having chances of difficult intubation. If we give sedation or general anesthesia, we can be trapped in critical airway accidents. Aims & objectives: To access & compare efficacy of anatomical landmark guided/ Ultrasound guided superior laryngeal nerve block associated with topical Anesthesia & transtracheal block for awake blind nasal intubation.Method: Group A: Anatomical landmark guided superior laryngeal nerve block given(n=30) Group B: ultrasound guided superior laryngeal nerve block(n=30) In both groups topical Anesthesia & transtracheal block for awake blind nasal intubation was given.Results: upper airway block provide clinical ease to facilitate blind nasal awake intubation. ultrasound guided block has less adverse reactions. Conclusion: Both methods provide good quality of Endotracheal intubation, but ultrasound guided block is more efficient & scientific method to block superior laryngeal nerve for awake nasal intubation.

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