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1 results

  • New methods of dealing with the complications of panendoscopy

  • Paul Mendel, F. C. Anaes, Aubrey Bristow
  • Journal:
    The Journal of Laryngology & Otology / Volume 106 / Issue 10 / October 1992
    Published online by Cambridge University Press:
    29 June 2007, pp. 903-904
    Print publication:
    October 1992

  • 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.