In this episode of The Nurse Anesthesia Podcast, Jeremy, Sass, Mark, and Chloe Gomez discuss the evolution of Topical Thunder for Awake Intubation. They examine how this topical technique for anesthetizing the airway was developed, and talk about each of their unique experiences with Topical Thunder for awake intubation. 

Topical Thunder is a technique that uses only topical lidocaine to anesthetize the airway in preparation for awake intubation. It consists of three steps: 

Step 1 is spraying the oral and hypo-pharyngeal structures with atomized 4% lidocaine solution.

Step 2 utilizes 5% lidocaine paste to anesthetize the posterior tongue and vallecular structures.

Step 3 involves spraying the hypopharyngeal and periglottic structures with atomized 4% lidocaine solution. 

This is an episode you absolutely do not want to miss, because when it comes to awake intubation…it really is…GO TIME!

Resources/information discussed in podcast

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The Nurse Anesthesia Podcastis for educational and informational purposes only. It does not constitute medical or professional advice. While we strive for accuracy, medicine is constantly evolving, and clinical decisions should always be made based on current guidelines, institutional policies, and individual patient considerations. The views expressed are those of the hosts and guests, and Do NOT necessarily reflect the opinions of any affiliated institutions. Listeners should consult their own healthcare providers before making any medical decisions. 

Music by Alex Grohl