Document Detail


The efficacy of lidocaine administered via the LITA tracheal tube in attenuating the extubation response in beta-blocked patients following craniotomy.
MedLine Citation:
PMID:  11949645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Laryngotracheal Instillation of Topical Anaesthetic (LITA) tracheal tube has an additional pilot tube through which local anaesthetic can be instilled into the larynx via 10 small holes above and below the cuff We studied 40 patients undergoing supratentorial craniotomy. They were premedicated with two oral doses of propranolol 1 mg.kg(-1). The anaesthetic consisted of infusions of remifentanil, propofol and vecuronium. On insertion of the first skin clip at the end of surgery, 5 ml of either saline or 2% lidocaine was injected into the appropriate lumen of the tracheal tube. There was no difference between the groups in the degree of coughing or the haemodynamic response to tracheal extubation.
Authors:
J Andrzejowski; G Francis
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  57     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-11     Completed Date:  2002-05-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  399-401     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia, Royal Hallamshire Hospital, Sheffield, UK. John.Andrzejowski@sth.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adrenergic beta-Antagonists / pharmacology
Adult
Aged
Aged, 80 and over
Anesthetics, Local / pharmacology*
Cough / prevention & control
Craniotomy*
Device Removal / adverse effects
Female
Hemodynamics / drug effects*
Humans
Intubation, Intratracheal* / instrumentation
Lidocaine / pharmacology*
Male
Middle Aged
Postoperative Complications / prevention & control
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Anesthetics, Local; 137-58-6/Lidocaine
Comments/Corrections
Comment In:
Anaesthesia. 2002 Oct;57(10):1034-5; author reply 1035   [PMID:  12358971 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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