Use of lignocaine nebulization in post bronchoscopy patients: a study of 150 cases

Naveed Gul; Monica Manhas; Parmod Kalsotra; Mehak Taban Mir

doi:10.18203/2320-6012.ijrms20205300

Authors

Naveed Gul Department of Otorhinolaryngology and Head and Neck surgery, Government Medical College, Jammu, Jammu and Kashmir, India
Monica Manhas Department of Physiology, Government Medical College, Jammu, Jammu and Kashmir, India
Parmod Kalsotra Department of Otorhinolaryngology and Head and Neck surgery, Government Medical College, Jammu, Jammu and Kashmir, India
Mehak Taban Mir Department of community Medicine, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20205300

Keywords:

Rigid bronchoscopy, Foreign body, Lignocaine nebulization

Abstract

Background: To see the role of lignocaine nebulisation and to compare its role with use of steroids and bronchodilators alone in post bronchoscopy patients.

Methods: In the present study, 150 patients, who underwent rigid bronchoscopy for removal of foreign body, were taken into consideration. Immediately after the rigid bronchoscopy, 100 patients were given nebulization and 50 patients were not nebulized. Out of 100 patients, 50 patients were given nebulization with steroids (budesonide) and bronchodilators (salbutamol) and 50 patients received nebulization with lignocaine 4%, steroids (budesonide) and bronchodilator (salbutamol).

Results: In the present study, 38 patients (25.3%) were having complications like laryngobronchial spasm, laryngeal edema, cardiac arrest and respiratory arrest. Out of the 38 patients, 15 patients (39.5%) were having laryngobronchial spasm and 23 patients (60.5%) were having laryngeal edema. Out of 15 patients who had laryngobronchial spasm only 2 (13.3%) patients, who were nebulised developed this complication, while 86.7% cases of laryngobronchial spasm developed in non-nebulised patients. Out of 23 patients who developed laryngeal oedema, only 6 (26%) patients who were nebulised developed this complication, while 74% cases of laryngeal oedema developed in non-nebulised patients.

Conclusions: In the present study it is concluded that both morbidity and mortality can be reduced by the use of nebulisation in the postoperative period after rigid bronchoscopy. Addition of lignocaine in nebulisation along with steroids and bronchodilators further reduces the morbidity and mortality in the postoperative period.

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References

Mehta BS, Gupta AJ, Selarka LB. Role of lignocaine nebulization in post bronchoscopy patients-A study of 200 cases. Indian J Otolaryngol Head Neck Surg. 2007;59(2):124-6.

Aylac A, Yurdakal Y, Ikizler C, Olga R, Saylam A. Inhalation of foreign bodies in children, Report of 500 cases. J Thorac Cardiovasc Surg. 1977;74:145-51.

Keith FM, Charrette EJ, Lynn RB, Salerno TA. Inhalation of foreign bodies by children: a continuing challege in management. Can Med Assoc J. 1980;122(1):52-7.

Blazer S, Naveh Y, Friedman A. Foreign body in the airway. Am J Dis Child. 1980;134:68-81.

Tandon RK, Patney NL, Srivastava VK, Wadhwan VP. Foreign body in tracheobronchial tree in infancy and childhood. Indian J Chest Dis. 1976; 15:214-8.

Korttila K, Tarkkanen J, Tarkkanen L. Comparison of laryngotracheal and ultrasonic nebulizer administration of lidocaine in local anaesthesia for bronchoscopy. Acta Anaesthesiol Scand. 1981;25 (2):161-5.