Ultrasound-guided superior laryngeal nerve block - A description of the technique

Keywords: Ultrasound-guided block, Superior laryngeal nerve, Technique

Abstract

Complications in airway management remain a common cause of anesthesia-associated mortality. When a patient is considered with anticipated difficult airway, the management depends on several variables, however, at present, the standard of management continues to be the patient awake approach. In scenarios of acute upper airway obstruction, the only way to guarantee adequate ventilation is to obtain a translaryngeal or transtracheal access, for which, it is necessary to use local anesthesia and grade I / II sedation, avoiding loss of spontaneous ventilation. For this purpose, we propose ultrasound-guided superior laryngeal nerve block, in order to standardize an ultrasound landmark that is reproduceable, with a high success rate, which allows limiting complications related to regional anatomic techniques and thus facilitating the securing of the airway in these patients.

References

Cook TM, Woodall N, Frerk C, Fourth National Audit Project. Major complications of airway management in the UK: Results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106:617-31. doi: http://doi.org/10.1093/bja/aer058

Joffe AM, Aziz MF, Posner KL, Duggan LV, Mincer SL, Domino KB. Management of difficult tracheal intubation: A closed claims analysis. Anesthesiology. 2019;131(4):818-29. doi: http://doi.org/10.1097/ALN.0000000000002815.

Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management--part 2--the anticipated difficult airway. Can J Anaesth. 2013;60(11):1119-38. doi: http://doi.org/10.1007/s12630-013-0020-x.

Ahmad I, El‐Boghdadly K, Bhagrath R, et al. Difficult airway society guidelines for awake tracheal intubation (ATI) in adults. Anaesthesia. 2020;75:509-28. doi: http://doi.org/10.1111/anae.14904.

Langeron O, Bourgain JL, Francon D, Amour J, Baillard C, Bouroche G, et al. Difficult intubation and extubation in adult anaesthesia. Anaesth Crit Care Pain Med. 2018;37(6):639-51. doi: http://doi.org/10.1016/j.accpm.2018.03.013.

Fang CH, Friedman R, White PE, Mady LJ, Kalyoussef E. Emergent Awake tracheostomy-The five-year experience at an urban tertiary care center. Laryngoscope. 2015;125:2476-9. doi: http://doi.org/10.1002/lary.25348.

Standring S. Head a neck: overview and surface anatomy. En: Standring S, editor, Gray’s Anatomy. Edición 41. Londres; 2016. p. 399-415.

Ambi US, Arjun BK, Masur S, Endigeri A, Hosalli V, Hulakund SY. Comparison of ultrasound and anatomical landmark-guided technique for superior laryngeal nerve block to aid awake fibre-optic intubation: A prospective randomised clinical study. Indian J Anaesth. 2017;61:463-8. doi: http://doi.org/10.4103/ija.IJA_74_17.

Maiya B, Smith HL. Failed tracheostomy under local anaesthesia... plan B? J Laryngol Otol. 2006;120(10):882-4. doi: http://doi.org/10.1017/S0022215106001836.

How to Cite
1.
Echeverri-Ospina YC, Zamudio Burbano MA, González Giraldo D. Ultrasound-guided superior laryngeal nerve block - A description of the technique . Colomb. J. Anesthesiol. [Internet]. 2020 Sep. 3 [cited 2024 Apr. 24];49(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/939

Downloads

Download data is not yet available.
Published
2020-09-03
How to Cite
1.
Echeverri-Ospina YC, Zamudio Burbano MA, González Giraldo D. Ultrasound-guided superior laryngeal nerve block - A description of the technique . Colomb. J. Anesthesiol. [Internet]. 2020 Sep. 3 [cited 2024 Apr. 24];49(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/939
Section
Brief academy

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code