Anesthesia for Zenker's Diverticulectomy

Anaesthetic management of endoscopic repair of Zenker's diverticulum

“…Zenker's diverticulum (ZD) is a rare acquired disorder (incidence 1 in 800) presenting in the 6th to 9th decades of life. [ 1 ] ZD results from posterior herniation of oesophageal mucosa into Killian's triangle, an area of least resistance situated above the cricopharyngeus and below the inferior pharyngeal constrictor muscle [ Figure 1 ].…”

“…[ 5 ] A smooth expedited induction with no coughing/straining in a 10–30-degree head-up tilt with adequate preoxygenation, hypnotic supplemented by opioid/lignocaine, and a dose of non-depolarising muscle relaxant with gentle ventilation should be the aim. [ 1 ] Once the endotracheal tube is in place, a moist gauze pack placed to surround the tube will prevent regurgitation during surgery.…”