Journal
ANESTHESIA AND ANALGESIA
Volume 98, Issue 5, Pages 1286-1288Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1213/01.ANE.0000108486.70256.E8
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This case report describes the successful fiberoptic intubation of an uncooperative child with a difficult airway due to gross burn scarring in the facial and neck region by administering 4% end-tidal sevoflurane and simultaneously delivering 4% nebulized lidocaine via a small-volume nebulizer that was connected to the inspiratory limb of the circle system via a T-piece adapter. This case suggests that simultaneously administering a volatile anesthetic with nebulized lidocaine might be an alternative way to deliver lidocaine and might provide better topical anesthesia for uncooperative patients.
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