Anesthesia for Triple Endoscopy in Aerodigestive Patients

Abstract

Purpose of Review To find the best anesthesia practices for patients with aerodigestive disorders undergoing triple endoscopy. Recent Findings While there is abundant literature on the utility of aerodigestive programs as well as the triple endoscopy performed in aerodigestive patients, there is a lack of studies investigating the optimal anesthetic technique for this patient population. Summary Triple endoscopy has been shown to expedite diagnosis and treatment while exposing patients to less anesthesia and decreasing the frequency of unnecessary evaluations. Due to the high-risk nature of airway procedures and the frequent underlying comorbidities in this special patient population, perioperative respiratory complications are common. Collaborative, multidisciplinary care among anesthesiologists, otolaryngologists, pulmonologists, and gastroenterologists is essential to meet the specific needs of each aerodigestive patient and safely perform the triple endoscopy. This article outlines our anesthetic approach and the perioperative considerations taken for each stage of the process.