Trauma Monthly

Published by: Kowsar

Comparison of Local Anesthetic Transcricothyroid Membrane Injection With Local Anesthetic Spray ‘as you go’ in Diagnostic Bronchoscopy

Marzieh Lak 1 , 2 , Mohammad Javad Namaki 2 and Ali Ghazvini 3 , *
Authors Information
1 Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
2 Department of Anesthesiology, School of Medical Sciences, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
3 Chemical Injuries Research Center, System Biology and Poisoning Institute, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
Article information
  • Trauma Monthly: March 2018, 23 (2); e15109
  • Published Online: March 10, 2018
  • Article Type: Research Article
  • Received: January 24, 2017
  • Revised: August 12, 2017
  • Accepted: September 6, 2017
  • DOI: 10.5812/traumamon.15109

To Cite: Lak M, Namaki M J, Ghazvini A. Comparison of Local Anesthetic Transcricothyroid Membrane Injection With Local Anesthetic Spray ‘as you go’ in Diagnostic Bronchoscopy, Trauma Mon. 2018 ; 23(2):e15109. doi: 10.5812/traumamon.15109.

Copyright © 2018, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Chandra A, Banavaliker JN, Agarwal MK. Fibreoptic bronchoscopy without sedation: Is transcricoid injection better than the "spray as you go" technique? Indian J Anaesth. 2011;55(5):483-7. doi: 10.4103/0019-5049.89877. [PubMed: 22174465].
  • 2. Laurie B, Hien TN. ACCP Discusses Anesthesia, Sedation for Bronchoscopy in Adults. Chest. 2011;140:1342-50.
  • 3. Ni YL, Lo YL, Lin TY, Fang YF, Kuo HP. Conscious sedation reduces patient discomfort and improves satisfaction in flexible bronchoscopy. Chang Gung Med J. 2010;33(4):443-52. [PubMed: 20804674].
  • 4. Stolz D, Chhajed PN, Leuppi J, Pflimlin E, Tamm M. Nebulized lidocaine for flexible bronchoscopy: a randomized, double-blind, placebo-controlled trial. Chest. 2005;128(3):1756-60. doi: 10.1378/chest.128.3.1756. [PubMed: 16162784].
  • 5. Frey WC, Emmons EE, Morris MJ. Safety of High Dose Lidocaine in Flexible Bronchoscopy. J Bronchol. 2008;15(1):33-7. doi: 10.1097/LBR.0b013e3181641b8e.
  • 6. Horacek M, Vymazal T. Lidocaine not so innocent: Cardiotoxicity after topical anaesthesia for bronchoscopy. Indian J Anaesth. 2012;56(1):95-6. doi: 10.4103/0019-5049.93362. [PubMed: 22529438].
  • 7. Rajan S, Puthenveettil N, Paul J. Transtracheal lidocaine: An alternative to intraoperative propofol infusion when muscle relaxants are not used. J Anaesthesiol Clin Pharmacol. 2014;30(2):199-202. doi: 10.4103/0970-9185.130016. [PubMed: 24803757].
  • 8. Kaur H, Dhooria S, Aggarwal AN, Gupta D, Behera D, Agarwal R. A Randomized Trial of 1% vs 2% Lignocaine by the Spray-as-You-Go Technique for Topical Anesthesia During Flexible Bronchoscopy. Chest. 2015;148(3):739-45. doi: 10.1378/chest.15-0022. [PubMed: 25811287].
  • 9. Xue FS, Liu HP, He N, Xu YC, Yang QY, Liao X, et al. Spray-as-you-go airway topical anesthesia in patients with a difficult airway: a randomized, double-blind comparison of 2% and 4% lidocaine. Anesth Analg. 2009;108(2):536-43. doi: 10.1213/ane.0b013e31818f1665. [PubMed: 19151284].
  • 10. Williams KA, Barker GL, Harwood RJ, Woodall NM. Combined nebulization and spray-as-you-go topical local anaesthesia of the airway. Br J Anaesth. 2005;95(4):549-53. doi: 10.1093/bja/aei202. [PubMed: 16126785].
  • 11. Morris MJ, Kwon HP, Zanders TB. Glob Perspect Bronchoscop. Monitoring, Sedation, and Anesthesia for Flexible Fiberoptic Bronchoscopy. InTech; 2012.
  • 12. Rajan S, Puthenveettil N, Thankappan K, Paul J. Transtracheal lidocaine injection reduces the anesthetic requirements in brachial plexus surgeries. Anesth Essays Res. 2013;7(1):110-5. doi: 10.4103/0259-1162.114015. [PubMed: 25885731].
  • 13. Graham DR, Hay JG, Clague J, Nisar M, Earis JE. Comparison of three different methods used to achieve local anesthesia for fiberoptic bronchoscopy. Chest. 1992;102(3):704-7. [PubMed: 1516390].
  • 14. Antoniades N, Worsnop C. Topical lidocaine through the bronchoscope reduces cough rate during bronchoscopy. Respirology. 2009;14(6):873-6. doi: 10.1111/j.1440-1843.2009.01587.x. [PubMed: 19703068].
  • 15. Wahidi MM, Jain P, Jantz M, Lee P, Mackensen GB, Barbour SY, et al. American College of Chest Physicians consensus statement on the use of topical anesthesia, analgesia, and sedation during flexible bronchoscopy in adult patients. Chest. 2011;140(5):1342-50. doi: 10.1378/chest.10-3361. [PubMed: 22045879].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments