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Lidocaine administration to the laryngopharynx for inducing anesthesia before bronchoscopy: A comparative study of Jackson's spray method and ultrasonic nebulization

Ken-ichi Takahashi, Emiko Yamakawa, Kouki Tsuji, Yukiko Kaneko, Yoko Uraguchi, Kaori Okubo, Toshie Chiyomori, Emiko Murakami, Taeko Kameyama, Kazuki Shima, Yoko Hamakawa, Shohei Kaneda, Susumu Noguchi, Akari Moriyama, Yojiro Yutaka, Hiromichi Katakura, Naoki Sakai, Akira Yamanaka
European Respiratory Journal 2012 40: P3575; DOI:
Ken-ichi Takahashi
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Emiko Yamakawa
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Kouki Tsuji
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Yukiko Kaneko
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Yoko Uraguchi
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Kaori Okubo
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Toshie Chiyomori
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Emiko Murakami
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Taeko Kameyama
2Endoscopy Center, Otsu Red Cross Hospital, Otsu, Japan
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Kazuki Shima
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Yoko Hamakawa
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Shohei Kaneda
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Susumu Noguchi
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Akari Moriyama
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Yojiro Yutaka
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Hiromichi Katakura
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Naoki Sakai
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Akira Yamanaka
1Respiratry Diseases and Chest Surgery, Otsu Red Cross Hospital, Otsu, Japan
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Abstract

[Objective] To compare the degrees of pain experienced by patients and additional intraoperative amounts of lidocaine required when lidocaine is administered using Jackson's spray and an ultrasonic nebulization.

[Methods] Forty patients who were given laryngopharyngeal anesthesia before bronchoscopy were divided into 2 groups of 20 patients each: group A, which was given 4% lidocaine 5 mL by using Jackson's spray, and group B, which was given 2% lidocaine 10 mL by using an ultrasonic nebulizer. The degrees of pain in patients evaluated on the basis of examination times, amounts of lidocaine administered during bronchoscopy, rates of lidocaine use (obtained by dividing amounts of lidocaine administered during bronchoscopy by examination times), and results of a questionnaire survey consisting of a 5-point evaluation scale for 7 items were compared between the 2 groups.

[Results] There were no significant differences in examination times, amounts of lidocaine administered during bronchoscopy, and degrees of pain between the groups. However, the rates of lidocaine use in group B were significantly lower than those in group A (0.55 ± 0.3 mL/min versus 0.38 ± 0.2 mL/min; p = 0.03). An analysis based on patient age and smoking history showed that the rate of lidocaine use in group A was not significantly high in elderly persons (less than 70 years of age) and smokers (p = 0.05).

[Conclusion] In laryngopharyngeal anesthesia before bronchoscopy, the Jackson spray required a large amount of lidocaine at the time of bronchoscopic examination for bronchoscopy time, compared with the ultrasonic nebulizer.

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Lidocaine administration to the laryngopharynx for inducing anesthesia before bronchoscopy: A comparative study of Jackson's spray method and ultrasonic nebulization
Ken-ichi Takahashi, Emiko Yamakawa, Kouki Tsuji, Yukiko Kaneko, Yoko Uraguchi, Kaori Okubo, Toshie Chiyomori, Emiko Murakami, Taeko Kameyama, Kazuki Shima, Yoko Hamakawa, Shohei Kaneda, Susumu Noguchi, Akari Moriyama, Yojiro Yutaka, Hiromichi Katakura, Naoki Sakai, Akira Yamanaka
European Respiratory Journal Sep 2012, 40 (Suppl 56) P3575;

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Lidocaine administration to the laryngopharynx for inducing anesthesia before bronchoscopy: A comparative study of Jackson's spray method and ultrasonic nebulization
Ken-ichi Takahashi, Emiko Yamakawa, Kouki Tsuji, Yukiko Kaneko, Yoko Uraguchi, Kaori Okubo, Toshie Chiyomori, Emiko Murakami, Taeko Kameyama, Kazuki Shima, Yoko Hamakawa, Shohei Kaneda, Susumu Noguchi, Akari Moriyama, Yojiro Yutaka, Hiromichi Katakura, Naoki Sakai, Akira Yamanaka
European Respiratory Journal Sep 2012, 40 (Suppl 56) P3575;
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