Intravenous Anesthesia and Jet Ventilation for Laser Microlaryngeal Surgery
| Autor: | Ernest J. Tacchi, Robert F. Evans, Gerald S. Gussack |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Microsurgery
medicine.medical_specialty Sufentanil Laryngeal Diseases 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Thiopental 030223 otorhinolaryngology Vecuronium Bromide Laryngoscopy medicine.diagnostic_test business.industry Lidocaine Microlaryngeal surgery General Medicine Respiration Artificial Surgery Fentanyl Pulse oximetry Jet ventilation Otorhinolaryngology Intravenous anesthesia Anesthesia Anesthesia Intravenous Atracurium Laser Therapy Larynx Tracheotomy business Airway Preanesthetic Medication |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 96:29-33 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/000348948709600107 |
| Popis: | Competition between otolaryngologists and anesthesiologists for the limited space of the airway results in compromised control for both concerns. The surgeon desires an unobstructed view, whereas the anesthesiologist must ensure adequate ventilation. The drawbacks of standard methods include inadequate airways, inadequate visualization, and operating room contamination from inspired gases. Since 1984, we have developed a technique utilizing jet ventilation delivered through a metal delivery system providing a relatively safe, ignition-free environment. A total intravenous anesthetic technique is used to avoid any environmental contamination. The newer short acting, high potency narcotic, sufentanil citrate, combined with a short acting muscle relaxant, atracurium besylate or vecuronium bromide, have made this technique an ideal one for our needs. The pulse oximeter provides an invaluable margin of safety. This technique has been employed in 36 microlaryngeal procedures performed on 21 patients with a uniformly smooth perioperative course and only one complication. The technique, possible pitfalls, and applications are discussed. |
| Databáze: | OpenAIRE |
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