Can anyone tell me about using lidocaine prior to routine tracheal intubation?? It is a technique I am not familiar as I am from the UK and I have only seen it done by a few anesthetists.
How common is it? Why do people do it as the patient has usually been paralyzed? Does it really stop hemodynamic changes or trauma? There are papers out there which say yes, there are ones that say no. What is it that you are actually topicalizing? The vocal cords? Trachea? To stop reflexes? Is it used just like in awake intubations? How long do you wait before it has taken effect? 1-5 minutes seems a long time to wait. How much of it do you use?
I am a little confused and not sure if I should include it in my practice.