Laryngospasm during transtracheal high frequency jet ventilation.
A 74-year-old woman developed severe cardiovascular depression during percutaneous transtracheal high frequency jet ventilation for laser surgery of the epiglottis. This was found to be caused by acute airway obstruction secondary to severe laryngospasm. We recommend profound neuromuscular blockade during percutaneous transtracheal jet ventilation, in order to prevent this complication.
Schumacher
P
P
Department of Anaesthesia, University of Basel/Kantonsspital, Switzerland.
Stotz
G
G
Schneider
M
M
Urwyler
A
A
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology; D000771:Anesthesia, Intravenous; D004825:Epiglottis / Q000601:surgery; D005260:Female; D006611:High-Frequency Jet Ventilation / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications; D007822:Laryngeal Neoplasms / Q000601:surgery; D007826:Laryngismus / Q000209:etiology*; D053685:Laser Therapy