Transcricoid Injection vs. Spray as You go Method for Local Anaesthesia During EBUS-TBNA

• Status: Completed
• Trial end date: 2019-01-01
• Target enrollment: 0
• Participant gender: All

Summary

Endobronchial Ultrasound Guided Transbronchial Needle Aspiration (EBUS -TBNA) is commonly performed for diagnosis of mediastinal pathologies. The procedure can either be performed under general anaesthesia or under moderate sedation with topical anaesthesia. Most patients tolerate the procedure well although cough is often reported as a distressing symptom. Topical lignocaine is administered during endobronchial ultrasound for local anaesthesia. There is limited literature on the efficacy of transtracheal/transcricoid injection versus spray as you go method for lignocaine delivery to the airways during EBUS-TBNA. This study would help to determine the procedure comfort for the patient while using the transtracheal/transcricoid method vs the spray as you go method.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: All India Institute of Medical Sciences, New Delhi
• Treatments: Lidocaine

Criteria

Inclusion Criteria:

• Indication for EBUS TBNA

• Age > 18 years

Exclusion Criteria:

• Refusal of consent

• Known documented hypersensitivity to lignocaine

• Procedure performed under general anaesthesia

• Pregnancy

• Hypoxemia (oxygen saturation [by pulse oximetry] < 92% with Fio2 of ≥ 0.3

• Bronchoscopy done through endotracheal or tracheostomy tube

• Midline neck mass or thyroid enlargement making the identification of

• cricothyroid membrane difficult'

• Patients with central airway obstruction

• Patients with active ongoing hemoptysis