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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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Chapter 28 – Glossopharyngeal Block

PERSPECTIVE

Glossopharyngeal block is useful for anesthesia of the mucosa of the pharynx and soft palate as well as for eliminating the gag reflex that results when pressure is applied to the posterior third of the tongue.

Patient Selection.

Glossopharyngeal block can be used in most patients who require atraumatic, sedated, spontaneously ventilating, “awake” tracheal intubation.

Pharmacologic Choice.

The local anesthetic chosen for glossopharyngeal block does not need to provide motor blockade. Lidocaine (0.5%) is an appropriate choice.

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