Richards SD, Kaushik V, Rothera MP, Walker R. A tubeless anaesthetic technique for paediatric laryngeal laser surgery.
Int J Pediatr Otorhinolaryngol 2005;
69:513-6. [PMID:
15763290 DOI:
10.1016/j.ijporl.2004.11.018]
[Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2004] [Revised: 11/15/2004] [Accepted: 11/17/2004] [Indexed: 10/26/2022]
Abstract
Laser surgery on the paediatric larynx requires cooperation between the surgeon and anaesthetist to carry out the procedure in the safest manner possible. Over a period of 3 years, 45 laser procedures have been undertaken on the upper airway of 14 patients at our institution. All procedures were performed with volatile gas anaesthesia supplied via a nasopharyngeal tube in a spontaneously ventilating patient, thus allowing the surgeon an unobstructed view of the larynx. In only one case, was a problem experienced with the technique, that of laryngospasm. The technique provides an unrivalled view of the larynx whilst allowing safe anaesthesia.
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