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Updated: Jun 10, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
Regional & topical anaesthesia of upper airways
Nibedita Pani1, Shovan Kumar Rath
1Professor, Department of Anaesthesiology, SCB Medical College, Cuttak-753007, Orissa.
Summary:
A combination of techniques are required to adequately anaesthetise upper airway structures for awake intubation. The widest coverage is provided by the inhalational technique. This technique, however, does not always provide a dense enough level of anaesthesia for all patients. Supplementation of this technique with any of the specific nerve blocks is an excellent way to accomplish efficacious anaesthesia for awake inubation. Anaesthetising upper airway is not a difficult skill to master and should be in the armamentarium of all practising anaesthetist.
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