Use of an Epidural Catheter Placed Through a Fiberoptic Bronchoscope for Topical Anesthesia of the Larynx and Trachea in a Case of Difficult Intubation: A case report.

Kim,  Hak Won; Cho,  Young Uk; Lee,  Il Ok; Lee,  Mi Keung; Kim,  Nan Suk; Lim,  Sang Ho

doi:2003.45.4.533

Case Report

Korean Journal of Anesthesiology 2003;45(4):533-535.
DOI: https://doi.org/10.4097/kjae.2003.45.4.533

Use of an Epidural Catheter Placed Through a Fiberoptic Bronchoscope for Topical Anesthesia of the Larynx and Trachea in a Case of Difficult Intubation: A case report.

Hak Won Kim, Young Uk Cho, Il Ok Lee, Mi Keung Lee, Nan Suk Kim, Sang Ho Lim

Department of Anesthesiology, Kuro Hospital, College of Medicine, Korea University, Seoul, Korea. kkung7@unitel.co.kr

Abstract

Fiberoptic bronchoscope guided tracheal intubation is more popular in patient with expected difficult intubation by conventional laryngoscopy. We report a case of smooth fiberoptic bronchoscope guided tracheal intubation under local anesthesia. A 10% lidocaine spray 2-3 puffs of pharyngolaryngeal topical anesthesia and 2% lidocaine injection through a 19 gauge epidural catheter (ARROW(R)) placed over the fiberoptic bronchoscope suction channel for laryngeal and tracheal anesthesia were sufficient to prevent pain, coughing and nausea.

Key Words: difficult intubation; epidural catheter; fiberoptic bronchoscope; lidocaine