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Paper Information

Journal:   ANESTHESIOLOGY AND PAIN MEDICINE   JUNE 2016 , Volume 6 , Number 3; Page(s) 0 To 0.
 
Paper: 

SEVERE RESPIRATORY EVENT INITIALLY THOUGHT TO BE INADVERTENT ENDOBRONCHIAL INTUBATION: POSSIBLE COMPLICATIONS FROM USING OF A TOPICAL METERED-DOSE OF 8% LIDOCAINE PUMP SPRAY (CASE REPORT)

 
 
Author(s):  P. ARAI YOUNG CHANG*, KAWANISHI JUN, SAKAKIMA YOSHIKAZU, OHMOTO KOICHI, ITO AKIHIRO, MARUYAMA YUKI, IKEMOTO TATSUNORI
 
* MULTIDISCIPLINARY PAIN CENTRE, SCHOOL OF MEDICINE, AICHI MEDICAL UNIVERSITY, AICHI, JAPAN
 
Abstract: 

Introduction: Pulmonary collapse after intubation is common, and it is caused by a variety of factors.
Case Presentation: A 21-year-old man presented at our operation room to undergo an appendectomy. Except for a history of cigarette smoking, his history was negative. Anesthesia was induced with 100% oxygen and sevoflurane, remifentanil infusion, and propofol. Neuromuscular block was obtained with rocuronium. The tip and cuff of a tracheal tube were lubricated with a topical metered-dose of 8% Lidocaine pump spray. After intubation, SPO2 suddenly decreased. The chest x-ray revealed right upper lobe atelectasis. Fiber optic bronchoscopy showed that a large amount of yellow sticky mucus had been secreted into the right main bronchus.
Conclusions: In Japan, 8% Lidocainepumpspray contains menthol and ethanol as additives. These additives, particularly menthol, might have led to excessive mucus production, although we did not analyze the mucus secretion

 
Keyword(s): ENDOBRONCHIAL INTUBATION, SEVERE RESPIRATORY EVENT, 8% LIDOCAINE PUMP SPRAY
 
 
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APA: Copy

P. ARAI, Y., & KAWANISHI, J., & SAKAKIMA, Y., & OHMOTO, K., & ITO, A., & MARUYAMA, Y., & IKEMOTO, T. (2016). SEVERE RESPIRATORY EVENT INITIALLY THOUGHT TO BE INADVERTENT ENDOBRONCHIAL INTUBATION: POSSIBLE COMPLICATIONS FROM USING OF A TOPICAL METERED-DOSE OF 8% LIDOCAINE PUMP SPRAY (CASE REPORT). ANESTHESIOLOGY AND PAIN MEDICINE, 6(3), 0-0. https://www.sid.ir/en/journal/ViewPaper.aspx?id=509891



Vancouver: Copy

P. ARAI YOUNG CHANG, KAWANISHI JUN, SAKAKIMA YOSHIKAZU, OHMOTO KOICHI, ITO AKIHIRO, MARUYAMA YUKI, IKEMOTO TATSUNORI. SEVERE RESPIRATORY EVENT INITIALLY THOUGHT TO BE INADVERTENT ENDOBRONCHIAL INTUBATION: POSSIBLE COMPLICATIONS FROM USING OF A TOPICAL METERED-DOSE OF 8% LIDOCAINE PUMP SPRAY (CASE REPORT). ANESTHESIOLOGY AND PAIN MEDICINE. 2016 [cited 2021July24];6(3):0-0. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=509891



IEEE: Copy

P. ARAI, Y., KAWANISHI, J., SAKAKIMA, Y., OHMOTO, K., ITO, A., MARUYAMA, Y., IKEMOTO, T., 2016. SEVERE RESPIRATORY EVENT INITIALLY THOUGHT TO BE INADVERTENT ENDOBRONCHIAL INTUBATION: POSSIBLE COMPLICATIONS FROM USING OF A TOPICAL METERED-DOSE OF 8% LIDOCAINE PUMP SPRAY (CASE REPORT). ANESTHESIOLOGY AND PAIN MEDICINE, [online] 6(3), pp.0-0. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=509891.



 
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