Local anesthesia with blue-dyed lidocaine for a better patient’s tolerance during office-based laryngology procedures: how I do it - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue European Archives of Oto-Rhino-Laryngology Année : 2023

Local anesthesia with blue-dyed lidocaine for a better patient’s tolerance during office-based laryngology procedures: how I do it

Résumé

Background: In-office laryngological procedures became common alternatives to general anesthesia for biopsies, injection laryngoplasties, and laser procedures. The limiting step remains the laryngeal anesthesia whose quality can influence patients' and operators' comfort. Methods: We propose to dye the lidocaine with methylene blue and do an instillation through a catheter introduced in the video-endoscope's operating channel, which permits a progressive anesthesia focused on the larynx, avoiding an unwanted pharyngeal anesthesia and any tracheal irritation. Conclusion: Using blue-dyed lidocaine can help reduce the volume of anesthesia required for an office-based laryngology intervention, improving patients' and surgeon's comfort and reducing anesthesia's side effects.
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hal-04293612 , version 1 (18-11-2023)

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Ralph Haddad, Alexia Mattei, Antoine Giovanni. Local anesthesia with blue-dyed lidocaine for a better patient’s tolerance during office-based laryngology procedures: how I do it. European Archives of Oto-Rhino-Laryngology, 2023, 280 (11), pp.5139-5141. ⟨10.1007/s00405-023-08146-y⟩. ⟨hal-04293612⟩
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