The Laryngoscope
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High pressure oxygen jet ventilation via a small bore endotracheal tube has been found to be a very effective method for operative laryngoscopy and bronchoscopy under general anesthesia. Advantages of this technique include easily visualization of the larynx and good access for surgical manipulations and bronchoscopic procedures while maintaining excellent patient oxygenation and ventilation. There are few contra-indications for this procedure. Over the past 7 years we have done several thousand operative laryngoscopies using high pressure oxygen jet ventilation with few complications and excellent anesthetic and surgical results.
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The true incidence of malignant hyperthermia is unknown, but the frequency has been estimated as high as 1/14,000 anesthetic events. Review of the literature reports mortality rates up to 70%. ⋯ Thus, it behooves the physician to have an awareness of the syndrome and its features, so that early recognition and adequate treatment take place. This paper presents a review of the literature on the occurrence, pathology, symptoms and treatment of malignant hyperthermia.