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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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Chapter 30 – Translaryngeal Block

PERSPECTIVE

The translaryngeal block, like all airway blocks, can be useful in sedated, spontaneously ventilating, “awake” patients who require tracheal intubation.

Patient Selection.

Any patient is a candidate in whom it is desirable to avoid the Valsalva-like straining that may follow “awake” tracheal intubation (in which the patient is sedated and ventilating spontaneously).

Pharmacologic Choice.

The local anesthetic most often chosen for this block is 3 to 4 mL of 4% lidocaine. When multiple airway blocks are administered, the total dose of local anesthetic used should be kept in mind.

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