Anesthetic management of laser airway surgery.
This brief review of the anesthesiologist's role in the team effort necessary for the safe treatment of airway tumors by laser beam is provided to acquaint the referring physician or medical oncologist with some of the anesthesiologist's operating room concerns and how they are met. The necessity of bringing the patient to a level of maximum physiologic reserve prior to treatment becomes obvious with information gained by scanning this review. The referring physician or medical oncologist aids the patient and the anesthesiologist and surgeon by performing a thorough preoperative cardiopulmonary evaluation and therapeutic intervention, as indicated by patient need. The review includes a description of the actions of the carbon dioxide (CO2) and neodynium-yttrium aluminum garnet (YAG) lasers, "laser safety" for patients and personnel, monitoring, guarding the airway, ignition dangers, and comments on the use of jet and high frequency jet ventilation (HFJV).
Spiess
B D
BD
Department of Anesthesiology, Rush Medical College, Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.
Ivankovich
A D
AD
D000538:Aluminum Silicates; D000768:Anesthesia, General; D002245:Carbon Dioxide; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods; D009354:Neodymium; D012140:Respiratory Tract Diseases / Q000601:surgery*; D012449:Safety; D015019:Yttrium
D000538:Aluminum Silicates; D002245:Carbon Dioxide; D009354:Neodymium; D015019:Yttrium