Securing a paediatric airway with a nasal sucker for laser surgery

Abstract

The administration of anaesthetic gases to an infant undergoing an endolaryngeal laser procedure can be difficult. We describe the use of a Magill's nasal sucker and an anaesthetic connector to maintain anaesthesia during laser surgery.

The use of a double‐lumen central venous catheter for airway management in pediatric patients undergoing laryngeal papillomatosis surgery

“…Vaghela et al . described a method of administering volatile anesthetic into an infant's airway through a nasal suction device while endolaryngeal laser surgery proceeded. It has also been reported that anesthesia can be maintained with insufflation of oxygen and 5% halothane or 8% sevoflurane via a nasopharyngeal tube in spontaneously breathing patients .…”

“…Airway management for laryngeal endoscopic surgery usually involves one of four methods: controlled mechanical ventilation, jet ventilation, apnea with intermittent ventilation, and spontaneous breathing . The spontaneously breathing anesthesia technique involves oxygen insufflation: through an endotracheal tube positioned superior to the glottis along the lateral portion of the laryngeal endoscope , through a nasal suction device or nasopharyngeal catheter . With this anesthetic technique, however, one cannot accurately monitor endtidal carbon dioxide tension (PetCO 2 ) due to the presence of an open airway .…”