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VOL 22 NO 2 ANBSTHESIA APRIL 1967

APPARATUS

A laryngeal spray

Topical analgesia of the larynx prior to intubation is essential in

some operations and desirable in all, except where there is a risk of
aspiration of fluids or vomit after extubation. However the per-
formance of most laryngeal sprays is capricious due to blockage of
the jet and most are difficult to clean satisfactorily after use. The
spray described here does not suffer from the same disadvantages as
other sprays I have used, and this is justification for describing yet
another laryngeal spray (figure 1).

FIGURE 1
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Vol22 ANSSTHESIA 315

Air pressure for nebulising liquid such as 4% lignocaine is pro-

vided in the usual way by a hand bulb.
The reservoir is graduated and holds 5ml liquid.
The jet is made of polyethylene tubing of 0.5mm bore and 0.25mm
wall thickness which extends from the tip of the spray to the bottom
of the reservoir. (figure 2). A jet of this size gives a fine mist of local
analgesic.
These jets can be easily replaced if they become blocked.
That part of the spray which is put inside the mouth or larynx can
be removed for sterilisation after use. It is attached to the spray by a
Luer-Lok fitting and 3 malleable ends are provided with each spray,
so that it can be in constant use and yet have a sterile end for each
case.
One spray such as this has performed satisfactorily and consis-
tently for 18 months.
These sprays are manufactured and supplied by Talley Amsthetic
Equipment Limited, 3 Hercules Street, London N7.