Objective: to study the topical anesthesia endotracheal intubation andclinical application. Methods: We have added a duct to the glottis bet onmedicine.Its note trachea with airbag downward in the same groove. Themedicine hole is located in the set of the proximal capsule. When localanesthetic injection, they are spurting out of the medicine, subglottic localanesthetic action. At the end of the general anesthesia, can maximum limitreduced shallow anesthesia. The patient regained consciousness with low stressreaction and Airway obstruction occurrence probability is also reduced.Laryngospasm and bronchospasm occurrence probability is reduced. Throughtwo experiments to validate the feasibility and safety of topical anesthesia,respectively is: test60patients undergoing elective abdominal surgery, ASA â…¡level, there is no history of arrhythmia, myocardial ischemia ECG aresuggesting the or different degree of left ventricular dilatation, ST-T change.Were randomly divided into table linen group (group B) and the control group(group D),30cases in each group. Table linen set by local anesthetics with drugmouth to local anesthetics by local anesthetics pipe injection drugs, localanesthetics out hole injection to the set of capsule on the endotracheal intubationpatients vocal cords between patients with trachea and vocal cord topicalanesthesia. Test option needs to be done in40patients with general anesthesia surgery, were randomly divided into table linen group and the control group(n=20). Patients with general anesthesia in decannulation indications, table linengroup through the duct injection of lidocaine, the control group with sodiumchloride. Results: the test a HR, SBP, DBP, RPP in group B with T1T3, T4andT5was no significant difference (P>0.05), compared with T1each indexdecreased significantly (P<0.05), compared with group D also significantlyreduced (P<0.05, P<0.01). Group D in sputum suction tube drawing there are4cases of patients with SBP is greater than200mmHg the urapidil to12.5mg,group B did not appear this kind of situation. Test table linenâ… group in T1andT3, T4and T5comparison RPP, DBP, and SBP, HR value when there was nosignificant difference (P>0.05), compared with T2each index was significantlydecreased (P<0.05), compared with â…¡ group were significantly lower (P<0.01,P<0.05). Conclusion: the topical anesthesia of manufacture and clinicalapplication of organ intubation is feasible. And anesthesia effect is good, canminimize the complications of anesthesia by, greatly reducing the patient’s pain.When tube drawing general anesthesia is a more practical method. |