Tubeless Spontaneous Respiration Technique for Pediatric Microlaryngeal Surgery

Quintal, Marie‐Claude; Cunningham, Michael J.; Ferrari, Lynne R.

doi:10.1001/archotol.1997.01900020097015

Cited by 21 publications

(11 citation statements)

References 14 publications

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“…More eYcient scavenging systems with gas suction Wxed close to the patient's oral area are needed to overcome this problem. Reducing the sevoXurane concentration in inhaled anaesthesia gas mixture by using continuous propofol infusion as an anaesthesia adjuvant or replacing sevoXurane completely with propofol would probably signiWcantly decrease the contamination or abolish it altogether, as suggested by some previous studies [4,5]. Although health hazards due to short-time occupational exposure to sevoXurane remain controversial, pregnant women and those getting strong irritative symptoms from sevoXurane should probably not stay in the room.…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, the use of a small-diameter endotracheal tube or jet ventilation cannula is acceptable, but sometimes a completely free view is needed. Several modiWcations of tubeless anaesthesia techniques have been introduced for diVerent purposes in both adult and paediatric cases [1][2][3][4]. Basically, all these methods aim to preserve spontaneous breathing, and anaesthesia maintenance is carried out by using either volatile agents insuZated to the upper airways, intravenous anaesthesia or a combination of both these techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Basically, all these methods aim to preserve spontaneous breathing, and anaesthesia maintenance is carried out by using either volatile agents insuZated to the upper airways, intravenous anaesthesia or a combination of both these techniques. The most commonly used agents for this purpose have been halothane [4,5], sevoXurane [6] and propofol, given as a continuous infusion [2] or repeated boluses [1].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tubeless anaesthesia with sevoflurane and propofol in adult laryngeal surgery

Antila

Illman

Hurme

et al. 2010

Eur Arch Otorhinolaryngol

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The presence of endotracheal intubation tube or jet ventilation cannula can compromise free view and access to operation area in certain endolaryngeal operations. The objective of this prospective study was to test whether adequate level of anaesthesia could be obtained in adults using tubeless sevoflurane inhalation anaesthesia with spontaneous breathing. In 23 ASA 1-2 patients, 31 treatments were included in the study of which 19 were laser-assisted papilloma or other tumour resections and 12 were fascia injection laryngoplasties. Anaesthesia was induced with propofol and maintained by insufflating sevoflurane mixture to the patient's oropharynx. The adequacy of the anaesthesia level was assessed by monitoring bispectral index, haemodynamic parameters and peripheral oxygen saturation during the anaesthesia. The ENT surgeon estimated operating conditions, whilst the two participating anaesthesiologists assessed the quality of anaesthesia using a 100 mm VAS scale. Sevoflurane contamination in the operating theatre was measured during five treatments. Mean bispectral index was below 40 throughout the operation. Haemodynamic parameters showed only minor changes during the anaesthesia. Both attending anaesthesiologists and operating ENT surgeon were satisfied with the quality of the anaesthesia and operating conditions (VAS 83 ± 15, mean ± SD, range 42-100, and VAS 93 ± 10, range 55-100, respectively). Sevoflurane room air contamination was high in most measured cases. The modification of tubeless inhalation anaesthesia used in this study produced adequate level of anaesthesia with stable haemodynamics and good operating conditions. Sevoflurane contamination can be reduced with more efficient scavenging systems.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Tubeless anaesthesia with sevoflurane and propofol in adult laryngeal surgery

Antila

Illman

Hurme

et al. 2010

Eur Arch Otorhinolaryngol

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“…The application of topical anesthesia to the larynx before suspension reduces vocal cord reactivity and decreases the risk of laryngospasm. 18,19 Conservative Laryngectomy Surgery (Partial Laryngectomy)…”

Section: General Anesthesia With Intubationmentioning

confidence: 99%

Adult Laryngotracheal Surgery

Xiao

Zhang

2010

Anesthesiology Clinics

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“…Sein Vorteil liegt in der kurzen Aufwachphase und der antiemetischen Wirkung; seine Nachteile sind Injektionsschmerz, Blutdruckabfall und klonische Bewegungen. Propofol ist mit Beginn der 90er Jahre in der pädiatri-schen Anästhesie eingeführt [36,102] und eignet sich gut zur Sedierung bei pädiatrischen Endoskopien und Bronchoskopien [39,53,74,78,101]. Das Auftreten von schweren und tödlichen Komplikationen, wie Bradykardie, Reizleitungsstörungen und Asystolie, bei der Verwendung von Propofol zur Sedierung von Kindern bezieht sich auf prolongierte, über mehrere Tage erfolgte Verwendung des Medikaments bei intensivmedizinischen Patienten.…”

Section: Iv-anästhetikaunclassified

Anästhesiologisches Management zur Endoskopie der Atemwege bei Kindern

Machotta

2002

Der Anaesthesist

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We have developed a modern strategy for the anaesthetic management of the pediatric airway using anaesthetic drugs such as sevoflurane, propofol, mivacurium and remifentanil, together with new techniques including the laryngeal mask. This strategy provides optimal conditions for the examiner and maximum safety for the pediatric patient. The endoscopic investigation of pediatric airways has become important for the diagnosis and treatment of many pediatric diseases, and is often performed with the support of a pediatric anaesthetist. Important indications include acute and chronic stridor, chronic obstructive airway disease, mucoviscidosis and foreign body aspiration. The best and safest techniques are outlined depending on the clinical situation, and the most frequent complications are discussed, e.g. hypoxaemia, respiratory arrest, laryngospasm, bronchial obstruction, pneumothorax and overdosing of local anaesthetic agents.

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Tubeless Spontaneous Respiration Technique for Pediatric Microlaryngeal Surgery

Cited by 21 publications

References 14 publications

Tubeless anaesthesia with sevoflurane and propofol in adult laryngeal surgery

Tubeless anaesthesia with sevoflurane and propofol in adult laryngeal surgery

Adult Laryngotracheal Surgery

Anästhesiologisches Management zur Endoskopie der Atemwege bei Kindern

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