title: Use of combined suspension laryngoscopy and jet ventilation for Y-shaped airway stents delivery.
abstract: Airway stenting is a common endoscopic procedure that is used to treat a variety of central airway lesions. Obstructions or fistulas involving the carina or nearby tracheobronchial structures require the use of specially designed stents, commonly referred to as Y-stents. Conventional methods of endobronchial Y-stent delivery are all characterized by a blind and apneic period during the procedure that carries the risk of stent misplacement or ventilation/oxygenation problems or both. Using combined suspension laryngoscopy, flexible bronchoscopy, and jet ventilation, we describe a technique that makes challenging bronchoscopic interventions--such as self-expandable Y-shaped airway stent delivery--easy, precise, and safe.
authors.affiliation: Service of Otolaryngology, Head and Neck Surgery, Department of Surgery and Anesthesiology, Lausanne University Hospital, Lausanne, Switzerland. Electronic address: yan.monnier@chuv.ch.
authors.forename: Yan
authors.initials: Y
authors.lastname: Monnier
authors.affiliation: Service of Anesthesiology, Department of Surgery and Anesthesiology, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: Madeleine
authors.initials: M
authors.lastname: Chollet-Rivier
authors.affiliation: Service of Thoracic Surgery, Department of Surgery and Anesthesiology, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: Michel
authors.initials: M
authors.lastname: Gonzalez
authors.affiliation: Service of Respiratory Medicine, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: Laurent
authors.initials: L
authors.lastname: Nicod
authors.affiliation: Service of Otolaryngology, Head and Neck Surgery, Department of Surgery and Anesthesiology, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Simon
authors.affiliation: Service of Respiratory Medicine, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland.
authors.forename: Alban
authors.initials: A
authors.lastname: Lovis
mesh_terms: D001982:Bronchial Diseases / Q000628:therapy*; D006801:Humans; D007828:Laryngoscopy / Q000379:methods*; D012121:Respiration, Artificial / Q000379:methods*; D012307:Risk Factors; D015607:Stents; D014135:Tracheal Stenosis / Q000628:therapy*