Long-term Survival after Endobronchial Fire during Treatment of Severe Malignant Airway Obstruction with the Nd:YAG Laser

Denton, Robert A.; Dedhia, Harakh V.; Abrons, Henry L.; Jain, Puspha Rani; Lapp, N. L.; Teba, Luis

doi:10.1378/chest.94.5.1086

Cited by 16 publications

(5 citation statements)

References 7 publications

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“…Complications associated with the use of laser therapy range from hypotension and hemorrhage to cardiopulmonary arrest [129,[134][135][136]. Despite these risks, laser therapy can improve the quality of life in otherwise hopeless clinical situations where the alternative is death by prolonged asphyxiation.…”

Section: To Perform Difficult Intubations and To Guide Proper Placemementioning

confidence: 99%

Flexible Fiberoptic Bronchoscopy in the Intensive Care Unit

Brandstetter

1989

J Intensive Care Med

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For the past 20 years, flexible fiberoptic bronchoscopy (FOB) has been shown to be an important procedure in the diagnosis and management of patients in intensive care units (ICU). In adults, FOB is used therapeutically to remove retained secretions and to correct atelectasis not improved by conservative means. In the pediatric population, however, FOB is mainly used to diagnose tracheal disease in critically ill children. The principal risks of FOB are hypoxemia and dysrhythmias; hemor rhage and pneumothorax may occur as a result of biopsy procedures. In competent hands, these adverse compli cations of FOB are minimal. Although rigid bronchos copy remains pivotal in most pediatric bronchoscopic procedures, massive hemoptysis, foreign body removal, and laser therapy for occluding tumors of the upper airway, flexible FOB has an increasingly important role in the diagnosis and management of these disorders.

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Section: To Perform Difficult Intubations and To Guide Proper Placemementioning

confidence: 99%

Flexible Fiberoptic Bronchoscopy in the Intensive Care Unit

Brandstetter

1989

J Intensive Care Med

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“…Although the danger of airway fire during Nd-YAG laser therapy is low, 13,2' there is potential for an intratracheal fire to extend all the way to the anaesthesia circuit if unsafe laser equipment or high inspired concentrations of oxygen are used. 13 The silicone LMA could also be ignited in this rare event.…”

Section: Discussionmentioning

confidence: 95%

Anaesthetic Management of Tracheal Surgery Using the Laryngeal Mask Airway

Divatia

Sareen

Upadhye

et al. 1994

Anaesth Intensive Care

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“…14,15 Laser ablation, on the other hand, does not require direct contact with tumors and can immediately vaporize obstructions at target sites. However, complications such as hemorrhage, 15 mediastinitis, 17 intratracheal burns, 18,19 and air embolism 20 have been reported.…”

Section: Discussionmentioning

confidence: 99%