![]() 22 gauge needle 32 mm in length using total of 60 mg of lidocaine (2% solution) - 30 mg to each side.IV midazolam 2-3 minutes before the glossopharyngeal nerve block.Glossopharyngeal nerve blocks provided greater comfort and reduced need for sedation compared to topical.Also reported marked antisialagogue effect lasting 8 hours or moreĪs per Ramirez et al (Ramirez 2013) a clinical trial of 100 patients undergoing upper GI endoscopy randomly selected glossopharyngeal blocks with injection versus topical anesthesia concluded better with GPN blocks.Oropharyngeal discomfort lasting 24 h or more was reported by 91% who received the block discomfort lasting 3 or more days by 36%.Commented by authors: volume of 5 ml of local anesthetic used to produce a superior laryngeal nerve block as well (citing Stone DJ 1994).After negative aspiration, 5 cc of 1% lidcoaine HCT plain slowly injected bilaterally. ![]() 22 gauge Quincke spinal needle inserted to depth of 0.5 cm at base of atnerior tonsillar pillar (where BOT opposes the palatoglossal fold).Procedure then performed 5 minutes after anesthesia: Macintosh-3 blade with sufficient force to sustain a grade 1 or 2 vies ofr 20 seconds. ![]()
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