A technique of anaesthesia for microlaryngeal surgery is described utilizing a new catheter and the venturi jet injector. Access and exposure for the surgeon are excellent and the laser can be used without special precautions. The central position and lack of movement of the distal end of the tube in the trachea prevent the potential complication of rupture of the trachea or of a bronchus.
References
1.
AllenE. V. (1929): “Thromboangeitis Obliterans. Method of diagnosis of chronic occlusive arterial lesions distal to the wrist with illustrative cases”, Amer. J. Med. Sc., 178, 237.
2.
CardenE., and CrutchfieldW. (1973): “Anaesthesia for Microsurgery of the Larynx (a new method)”, Canad. Anaesth. Soc. J., 20, 3, 378.
3.
CardenE., and FergusonG. B. (1973): “A new technique for microlaryngeal surgery in infants”, Laryngoscope, 83, 691.
4.
CardenE., and VestH. R. (1974): “Further Advances in Anaesthetic Techniques for Microlaryngeal Surgery”, Anaesth. Analg., 53, 584.
5.
CassN. M., and WaldieI. A. (1964): “A robust reliable throat spray”, Brit. Anaesth., 36, 61.
6.
ClarksonW. B., and DaviesJ. R. (1978): “Anaesthesia for Carinal Resection”, Anaesthesia, 33, 815.
7.
El-NaggerM., KehE., StemmersA., and CollinsV. J. (1974): “Jet ventilation for microlaryngoscopic procedures. A further simplified technique”, Anaesth. Analg., 53, 794.
8.
KomesaroffD., and McKieB. (1972): “The Bronchoflator. A new technique for bronchoscopy under general anaesthesia”, Brit. J. Anaesth., 44, 1057.
9.
LinesV. (1973): “Anaesthesia for Laryngoscopy and Microlaryngeal Surgery in Children”, Anaesth. Intens. Care, 1, 507.
10.
NortonM. L. (1976): “Endotracheal Intubation and Venturi (jet) Ventilation for Laser Microsurgery of the Larynx”, Annals of Otology, 85, 656.
11.
PollardB. J. (1968): “Anaesthesia for Laryngeal Microsurgery”, Anaesthesia, 23, 534.
12.
SandersR. D. (1967): “Two ventilating attachments for bronchoscopes”, Delaware Medical Journal, 39, 170.
13.
SpoerelW. E., and GreenwayR. E. (1973): “Technique of ventilation during Endolaryngeal Surgery under general anaesthesia”, Canad. Anaesth. Soc. J., 20, 369.
14.
SpoerelW. E., NarayananP. S., and SinghN. P. (1971): “Transtracheal ventilation”, Brit. J. Anaesth., 43, 932.
15.
TobiasM. A., NassarW. Y., and RichardsD. C. (1977): “Naso-tracheal jet ventilation for microlaryngeal procedures”, Anaesthesia, 32, 359.
16.
VourchG., FrecheG., and Tran Ban HuiI. H. P. (1977): “Suspension laryngoscopy under general anaesthesia. A technique using an injector”, Anaesthesia, 32, 803.
