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New methods of dealing with the complications of panendoscopy

Published online by Cambridge University Press:  29 June 2007

Paul Mendel ,
F. C. Anaes  and
Aubrey Bristow
Paul Mendel
Affiliation:
London
F. C. Anaes
Affiliation:
London
Aubrey Bristow*
Affiliation:
London
*
Dr A. Bristow, F.F.A.R.C.S., Department of Anaesthesia, St Bartholomews Hospital, West Smithfield, London EC1A 7BE
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Abstract

A 70-year-old man with chronic obstructive airways disease was scheduled to undergo panendoscopy following a course of radiotherapy for carcinoma of the larynx. He was anaesthetized using a propofol infusion and high frequency jet ventilation (HFJV). The jet ventilation catheter was left in situ at the end of the procedure. This enabled oxygenation to be maintained in the presence of post-operative laryngospasm by re-attaching the jet ventilator. Subsequently he developed respiratory failure, and a Bullard laryngoscope was used to visualize the vocal folds despite oedema of the tumour which made direct laryngoscopy impossible.

A catheter was passed through the biopsy channel of the Bullard, enabling HFJV to be commenced. A conventional endotracheal tube was then railroaded over the catheter to facilitate conventional ventilation.

Keywords

LaryngoscopyVentilationhigh frequency jet
Type
Short communication
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 10 , October 1992 , pp. 903 - 904
Copyright
Copyright © JLO (1984) Limited 1992

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References

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