Jet insufflation anesthesia for endolaryngeal laser surgery: a review of 318 consecutive cases.
A series of 318 patients utilizing the jet insufflation technique for laser laryngeal anesthesia was studied. The technique utilizes a foil wrapped catheter placed below the vocal cords and attached to the Sanders ventilating adapter. Two pneumothoraces in children, one dental injury and one tube ignition were noted--all without permanent sequelae. Subsequent modification in technique prevented recurrence of these complications. The results indicate that this is a safe technique for laryngeal laser surgery, providing excellent visualization of the larynx while maintaining good oxygenation and airway control.
D000770:Anesthesia, Endotracheal / Q000295:instrumentation / Q000379:methods*; D002648:Child; D005260:Female; D005390:Fires; D006801:Humans; D007431:Intraoperative Complications; D007818:Laryngeal Diseases / Q000601:surgery*; D007828:Laryngoscopy; D053685:Laser Therapy; D008297:Male; D011030:Pneumothorax / Q000209:etiology; D011183:Postoperative Complications; D012121:Respiration, Artificial / Q000379:methods*