Smooth Extubation with Bupivicaine
I've always used topical lidocaine to spray the above and below the vocal cords in cases less than 2 hours to try to have a smoother extubation. In longer cases, I have run low-dose remifentanil infusions on wakeup for cases such as neuroanesthesia, carotids, certain ENT cases, etc.
One of my colleagues was taught to use bupivicaine 0.25% and spray about 3-5 mL using a flexible LMA Madgic atomizer. I've tried it out and it seems...
Smooth Extubation with Bupivicaine
Source: Student Doctor Network - Category: Universities & Medical Training Authors: jope Tags: Anesthesiology Source Type: forums
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