Is there an alternative to Intubeaze?

RE: Is there an alternative to Intubeaze?

Kate Richardson — Tue, 29 Jan 2019 10:27:18 GMT

[quote user="gdbvet"]

takes a few seconds(as does the spray).when larynx relaxes proceed with intubation.

[/quote]

What do you call a few seconds? The spray takes 30-60 seconds to be effective, would be surprised if the gel works quicker? I expect it has a bit of a lubricant effect though which probably helps it pass. However I would still be uneasy about this method

RE: Is there an alternative to Intubeaze?

Evelyn Barbour-Hill — Tue, 29 Jan 2019 02:23:17 GMT

[quote user="Kate Richardson"]Also, I personally rarely see post intubation coughing in cats- what are others experiences? [/quote]

Never.

I wait 30 seconds after spraying.

RE: Is there an alternative to Intubeaze?

gdbvet — Tue, 29 Jan 2019 01:16:03 GMT

takes a few seconds(as does the spray).when larynx relaxes proceed with intubation.

RE: Is there an alternative to Intubeaze?

Bob Russell — Mon, 28 Jan 2019 14:08:34 GMT

As I understand it the inventor had the good sense to demand a small fee for each bottle sold!

I agree the design is bl++dy awful but again I understand he came up with the idea rather than how it was eventually carried out.

Good for him!!

RE: Is there an alternative to Intubeaze?

Kate Richardson — Mon, 28 Jan 2019 13:53:08 GMT

[quote user="gdbvet"]

Try 2% xylocaine gel on the tip of the endo tube.no longer get a post intubation cough as was frequently the case with the spray.useful tip from a specialist vet anaesthetist in oz

[/quote]

How does that work though- surely you need some time for the local to actually work before you start poking something through the larynx? Or do you spray the larynx first as well?

Also, I personally rarely see post intubation coughing in cats- what are others experiences?

RE: Is there an alternative to Intubeaze?

Beats — Mon, 28 Jan 2019 07:16:43 GMT

https://www.medicines.org.uk/emc/product/882/smpc

The xylocaine spray being discussed. section 6.1 is ingredients.

RE: Is there an alternative to Intubeaze?

gdbvet — Mon, 28 Jan 2019 06:42:58 GMT

Try 2% xylocaine gel on the tip of the endo tube.no longer get a post intubation cough as was frequently the case with the spray.useful tip from a specialist vet anaesthetist in oz

RE: Is there an alternative to Intubeaze?

Evelyn Barbour-Hill — Sun, 27 Jan 2019 23:32:43 GMT

[quote user="Iain Richards"]Actually I can't remember what the old blue bottle with a decent metal bent nozzle was called,[/quote]

It was called Xylocaine spray. Made by Astra.

The banana one was (still is) called Xylonor. Made by Septodont. Yellow bottle.

[quote user="Iain Richards"]You impugn my honour Sir![/quote]

My friends will wait upon you. Pistols, I think.

RE: Is there an alternative to Intubeaze?

Iain Richards — Sun, 27 Jan 2019 22:32:57 GMT

[quote user="Evelyn Barbour-Hill"]I don't think so. Xylocaine was never banana flavoured. When the panic arose over Xylocaine, some people switched over to the similar product (the brand name escapes me) which was banana flavoured,[/quote]

You impugn my honour Sir!

1. Name of the medicinal product

Xylocaine 10 mg Spray

Each depression also delivers 1 mg of propylene glycol (an excipient of the banana essence).

Actually I can't remember what the old blue bottle with a decent metal bent nozzle was called, but it was the change to the other human product that caused the problems

RE: Is there an alternative to Intubeaze?

Lucy Fleming — Fri, 25 Jan 2019 21:30:02 GMT

[quote user="Rob Davis"]Don't know why.... the bottles are crap - only spray properly if upright![/quote]And the nozzle falls off half the time.

RE: Is there an alternative to Intubeaze?

Rob Davis — Fri, 25 Jan 2019 19:45:32 GMT

[quote user="David Mills"]Fun fact. The inventor of intubeaze spray bottle is now a long retired millionaire[/quote]

Don't know why.... the bottles are crap - only spray properly if upright!

RE: Is there an alternative to Intubeaze?

David Mills — Fri, 25 Jan 2019 00:43:53 GMT

Such a flap.

Use lidocaine 2pc, about 0.1-0.2ml per cat flattened cannula to spray.

Same concentration as intubeaze.

Fun fact. The inventor of intubeaze spray bottle is now a long retired millionaire

RE: Is there an alternative to Intubeaze?

Evelyn Barbour-Hill — Thu, 24 Jan 2019 23:00:10 GMT

[quote user="Iain Richards"]It woz the banana wot did it. (Seriously, the banana flavour caused an allergic response)[/quote]

I don't think so. Xylocaine was never banana flavoured. When the panic arose over Xylocaine, some people switched over to the similar product (the brand name escapes me) which was banana flavoured, and were fine (as they probably would have been if they had stuck with Xylocaine ). Then Intubeaze got licensed and we all thought we had better switch to that, cascade and all that y'know, and suppose there were an incident and we got sued....

RE: Is there an alternative to Intubeaze?

Robin Grimmer — Thu, 24 Jan 2019 22:15:39 GMT

How about squirting a few drops of a Minims down there? I've used it before.

RE: Is there an alternative to Intubeaze?

Iain Richards — Thu, 24 Jan 2019 22:10:04 GMT

[quote user="Beats"]

[quote user="Laurence Webb"]NVS have Xylocaine spray available[/quote]

blamed for serious adverse reactions in couple of cases a number of years back.

whether it was actually to blame or not, i think it's a brave choice of laryngeal lidocaine application for cat.

eg:

https://veterinaryrecord.bmj.com/content/167/16/627.1

https://veterinaryrecord.bmj.com/content/167/13/500

[/quote]

It woz the banana wot did it. (Seriously, the banana flavour caused an allergic response)

You can buy empty perfume atomisers and put lignocain in there apparently (facebook idea)

RE: Is there an alternative to Intubeaze?

Michael Woodhouse — Thu, 24 Jan 2019 21:15:47 GMT

[quote user="Rob Davis"]Unfortunately lignol contains adrenaline....[/quote]

Do we know the minuscule amount of adrenaline is harmful?

RE: Is there an alternative to Intubeaze?

Laurence Webb — Thu, 24 Jan 2019 12:27:06 GMT

[quote user="vetbl.locum"]

Laurence

Do you mean ' Xylocaine ' ?

No reactions to Intubease as far as I am aware

RGds

[/quote]Yes, we have Intubease left so hadn't used the Xylocaine

RE: Is there an alternative to Intubeaze?

Alistair Graham-Evans — Wed, 23 Jan 2019 23:32:26 GMT

We use ( in Australia) Co-Phenylcaine Forte Spray - 50mg/ml LignocaineHCl and 5mg/ml Phenylephrine HCl.

RE: Is there an alternative to Intubeaze?

vetbl.locum — Wed, 23 Jan 2019 22:50:36 GMT

Laurence

Do you mean ' Xylocaine ' ?

No reactions to Intubease as far as I am aware

RGds

RE: Is there an alternative to Intubeaze?

Laurence Webb — Wed, 23 Jan 2019 20:49:53 GMT

We still have Intubese left so haven't used any, and won't be using it now!

RE: Is there an alternative to Intubeaze?

Beats — Mon, 21 Jan 2019 19:17:31 GMT

[quote user="Laurence Webb"]NVS have Xylocaine spray available[/quote]

blamed for serious adverse reactions in couple of cases a number of years back.

whether it was actually to blame or not, i think it's a brave choice of laryngeal lidocaine application for cat.

eg:

https://veterinaryrecord.bmj.com/content/167/16/627.1

https://veterinaryrecord.bmj.com/content/167/13/500

RE: Is there an alternative to Intubeaze?

Laurence Webb — Mon, 21 Jan 2019 18:53:44 GMT

NVS have Xylocaine spray available

RE: Is there an alternative to Intubeaze?

Rob Davis — Mon, 21 Jan 2019 18:05:35 GMT

[quote user="Adebowale Ajao"]

Lignol - made by dechra. comes in 100ml bottle

[/quote]

Unfortunately lignol contains adrenaline....

RE: Is there an alternative to Intubeaze?

Thomas Johnson — Mon, 21 Jan 2019 17:58:10 GMT

[quote user="Rob Davis"]

intubease on back order again....

Does anybody know if it is possible to source lignocaine without adrenaline in multi dose bottles rather than glass break-top vials? Henry Schein are offering us 20 ml single use vials at around £5 each, which is going to be expensive if you're only doing one or two cats a day....

[/quote]

Henry Schein have also got Lidocaine Hydrochloride 2% in 2ml vials, a pack of 10 is £5.16, supplier code MELID10.

RE: Is there an alternative to Intubeaze?

Cool — Mon, 21 Jan 2019 17:57:00 GMT

Lignol - made by dechra. comes in 100ml bottle