New methods of dealing with the complications of panendoscopy
| Autor: | F. C. Anaes, Aubrey Bristow, Paul Mendel |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Male
Larynx medicine.medical_specialty Laryngoscopy Laryngoscopes High-Frequency Jet Ventilation medicine Humans Laryngospasm Laryngeal Neoplasms Aged medicine.diagnostic_test business.industry General Medicine Laryngeal Edema Surgery Catheter medicine.anatomical_structure Otorhinolaryngology Respiratory failure Anesthesia Vocal folds Breathing Panendoscopy medicine.symptom business |
| Zdroj: | The Journal of Laryngology & Otology. 106:903-904 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215100121231 |
| Popis: | A 70-year-old man with chronic obstructive airways disease was scheduled to undergo panendoscopy following a course of radiotherapy for carcinoma of the larynx. He was anaesthetized using a propofol infusion and high frequency jet ventilation (HFJV). The jet ventilation catheter was left in situ at the end of the procedure. This enabled oxygenation to be maintained in the presence of post-operative laryngospasm by re-attaching the jet ventilator. Subsequently he developed respiratory failure, and a Bullard laryngoscope was used to visualize the vocal folds despite oedema of the tumour which made direct laryngoscopy impossible.A catheter was passed through the biopsy channel of the Bullard, enabling HFJV to be commenced. A conventional endotracheal tube was then railroaded over the catheter to facilitate conventional ventilation. |
| Databáze: | OpenAIRE |
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