What is the role of anesthesia in bronchial thermoplasty (BT)?

Updated: Mar 30, 2021
  • Author: Said A Chaaban, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Topical anesthesia with 5 mL of 1% lidocaine jelly is applied to the nostril being used for bronchoscopy; 2-mL aliquots of 1% lidocaine are then applied at the level of the vocal cords until the patient is comfortable with minimal cough. Additional 2-mL aliquots of lidocaine can be applied to the tracheobronchial tree. It is recommended to use a 1% concentration of lidocaine to limit the risk of lidocaine toxicity.


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