title: A tubeless anaesthetic technique for paediatric laryngeal laser surgery.
abstract: Laser surgery on the paediatric larynx requires cooperation between the surgeon and anaesthetist to carry out the procedure in the safest manner possible. Over a period of 3 years, 45 laser procedures have been undertaken on the upper airway of 14 patients at our institution. All procedures were performed with volatile gas anaesthesia supplied via a nasopharyngeal tube in a spontaneously ventilating patient, thus allowing the surgeon an unobstructed view of the larynx. In only one case, was a problem experienced with the technique, that of laryngospasm. The technique provides an unrivalled view of the larynx whilst allowing safe anaesthesia.
authors.affiliation: The Royal Manchester Children's Hospital, Hospital Road, Pendlebury, Manchester, M27 4HA, UK. stuart_d_richards@hotmail.com
authors.forename: S D
authors.initials: SD
authors.lastname: Richards
authors.forename: V
authors.initials: V
authors.lastname: Kaushik
authors.forename: M P
authors.initials: MP
authors.lastname: Rothera
authors.forename: R
authors.initials: R
authors.lastname: Walker
mesh_terms: D000769:Anesthesia, Inhalation / Q000295:instrumentation / Q000379:methods*; D002648:Child; D006801:Humans; D007828:Laryngoscopy / Q000379:methods*; D053685:Laser Therapy / Q000379:methods; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016896:Treatment Outcome