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Volume 17 - August 2000

Contents

Page 8 of 9

(RD) Surgery

Book Reviews

Correspondence

Book Reviews

Correspondence

Book Review

Correspondence

Clinical Letter

  • Airway ignition during co2 laser laryngeal surgery and high frequency jet ventilation

  • P. Santos, A. Ayuso, M. Luis, G. Martínez, X. Sala
  • Published online by Cambridge University Press:
    16 August 2006, pp. 204-207

  • We present a case of a patient submitted for extirpation of a neoplasm of the larynx, by means of carbon dioxide laser surgery. High frequency jet ventilation was applied by means of orotracheal intubation with two Teflon catheters, 2mm in external diameter and 30cm in length, attached with three equally placed strips of adhesive paper tape. One catheter was used to inject the jet volume and the other used to measure the airway pressure. The adhesive strips were moistened and FiO2 was lower than 50%. After 30 min using the laser, an airway fire was noticed. Ventilation was interrupted and the catheters were removed. The patient was reintubated with an endotracheal tube of 6mm ID and the surgical procedure was continued until the tumour was removed. Two factors contributed to the airway fire: the ignition of the lowest adhesive strip that had dried and the use of the laser in the mode of continuous pulsation.

Book Reviews

Correspondence

ESA Announcement

Erratum

  • Erratum

  • Published online by Cambridge University Press:
    16 August 2006, p. 655
    • Article
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Correspondence

Clinical Letter

  • Successful epidural blood patch in a patient with headache for 6 months after lumbar root decompression

  • M. E. Gentili, D. Enel, A. Blamoutier
  • Published online by Cambridge University Press:
    16 August 2006, pp. 208-210

  • Prolonged headache following dural puncture is an uncommon problem that may occur after a spinal tap, often as a complication of epidural anaesthesia. This problem has also been described after long–term epidural or spinal anaesthesia, myelography or spinal surgery. A case of prolonged postdural puncture headache following lumbar nerve root decompression is described in a healthy young man. No other cause could be found either clinically or with the aid of scanning by computerized tomography or magnetic resonance imaging techniques at the spinal level involved. The symptoms were successfully treated with an epidural blood patch performed seven months following the original surgical operation.

Announcements

Correspondence

Page 8 of 9