Feasibility and safety of THRIVE in transoral laser microsurgery.
Am J Otolaryngol
; 43(5): 103605, 2022.
Article
en En
| MEDLINE
| ID: mdl-35973267
ABSTRACT
OBJECTIVE:
Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) presents obvious advantage in laryngeal surgery and Transoral Laser Microsurgery (TLM). Airway fire represents a rare complication of TLM and may be the most important limitation in the use of THRIVE. The objective was to evaluate the different operating conditions of the TLM with THRIVE with regard to fire risk. EXPERIMENT In this report, we assessed the risk of fire by varying the Fraction of Inspired Oxygen (FiO2), the Laser Energy, and the placement of endolaryngeal surgical and ventilatory equipment in a porcine model for TLM.RESULTS:
Fire, sparks and smoke were reported. No combustion occurred with THRIVE in the absence of an endolaryngeal material. Fire occurred systematically while delivering between 3 and 5 W Carbon dioxide (CO2) Laser direct shot on a dry laryngeal cotton. Conclusion THRIVE-TLM should never be performed using a dry cotton or a plastic endolaryngeal material.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Insuflación
/
Neoplasias Laríngeas
/
Terapia por Láser
Tipo de estudio:
Prognostic_studies
Límite:
Animals
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2022
Tipo del documento:
Article