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Int. J. Pediatr. Otorhinolaryngol. · Apr 2005
A tubeless anaesthetic technique for paediatric laryngeal laser surgery.
- S D Richards, V Kaushik, M P Rothera, and R Walker.
- The Royal Manchester Children's Hospital, Hospital Road, Pendlebury, Manchester, M27 4HA, UK. stuart_d_richards@hotmail.com
- Int. J. Pediatr. Otorhinolaryngol. 2005 Apr 1;69(4):513-6.
AbstractLaser surgery on the paediatric larynx requires cooperation between the surgeon and anaesthetist to carry out the procedure in the safest manner possible. Over a period of 3 years, 45 laser procedures have been undertaken on the upper airway of 14 patients at our institution. All procedures were performed with volatile gas anaesthesia supplied via a nasopharyngeal tube in a spontaneously ventilating patient, thus allowing the surgeon an unobstructed view of the larynx. In only one case, was a problem experienced with the technique, that of laryngospasm. The technique provides an unrivalled view of the larynx whilst allowing safe anaesthesia.
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