case_images: PMC11735163_01
case_images: PMC11735163_02
case_images: PMC11735163_03
case_images: The Trachospray device. Local anesthetics are nebulized to anesthetize the upper airway.. Credit: Permission to reproduce the images in panels A-D has been obtained from MedSpray Anesthesia B.V.
case_images: cureus-0017-00000077406-i01.jpg
case_images: PMC11735163_03_cureus-0017-00000077406-i01.jpg
case_images: FIG1
case_images: For topical anesthesia of the upper airway, a Trachospray device (Medspray Anesthesia B.V., Enschede, The Netherlands) (Figure 1) was utilized.
case_images: Remimazolam dosing and vital signs over time. Dosing of remimazolam overtime during the intubation procedure. Administration was performed both via continuous infusion and additional boli to titrate sedation. Vital signs shows no desaturation and normal values for blood pressure and heart rate.
case_images: cureus-0017-00000077406-i02.jpg
case_images: PMC11735163_03_cureus-0017-00000077406-i02.jpg
case_images: FIG2
case_images: The procedure did not cause stress, such as visible discomfort or significant changes in blood pressure or heart rate, nor did it lead to signs of excessive sedation, hypotension, or apnea (Figure 2). From the start of the remimazolam administration at the beginning of the procedure to the end of intubation, 17 minutes had passed (Figure 2).
case_images: PMC11735163_04
case_images: PMC11735163_05