title: Anesthesia management of microlaryngeal laser surgery in children: apneic technique anesthesia.
abstract: The purpose of this paper is to describe apneic technique general anesthesia which has been used in children for suspension microlaryngoscopy in the nontracheotomized patient. Apneic anesthesia uses a paralyzing drug in combination with controlled ventilation using halothane or isoflurane, nitrous oxide and oxygen, delivered through an endotracheal tube. Patients are monitored throughout the procedure with end-tidal CO2 levels and a cutaneous oximeter. Surgery is performed without the impediment of an endotracheal tube. This method, used in 240 patients ranging in age from 3 months to 18 years, eliminates the danger of a laser fire, gives an unobstructed view of the larynx, is safe, and is free of complications. All outpatients were discharged from the hospital within a few hours after the surgical procedure.
authors.affiliation: Department of Surgery, Childrens Hospital of Los Angeles, CA.
authors.forename: S R
authors.initials: SR
authors.lastname: Cohen
authors.forename: W I
authors.initials: WI
authors.lastname: Herbert
authors.forename: J W
authors.initials: JW
authors.lastname: Thompson
mesh_terms: D000768:Anesthesia, General / Q000379:methods*; D000769:Anesthesia, Inhalation; D002648:Child; D006801:Humans; D007442:Intubation, Intratracheal; D007830:Larynx / Q000601:surgery*; D053685:Laser Therapy; D012121:Respiration, Artificial