Jet ventilation for laryngotracheal surgery in an ex-premature infant.
Paediatr Anaesth
; 15(9): 786-9, 2005 Sep.
Article
en En
| MEDLINE
| ID: mdl-16101712
A 4-month-old ex-premature infant with severe airway obstruction from subglottic cysts presented for surgical cyst removal. Laryngeal and tracheal surgical procedures in children may present difficulties for the anesthetist because the airway is shared with the surgeon. We report the use of high-frequency jet ventilation (HFJV) to maintain ventilation and provide adequate surgical access. Anesthesia was induced using sevoflurane in oxygen and was maintained with intravenous infusions of propofol 7.5 mg.kg(-1).h(-1) and remifentanil 0.4 microg.kg(-1).min(-1). The suction channel of the ENT laryngoscope was used to introduce an 8-FG ureteric drainage catheter into the larynx and this catheter was used to provide HFJV. Obstruction to expiratory flow was a major concern and was dependent on good positioning of the rigid laryngoscope. Complications such as barotrauma, pneumopericardium, CO2-retention, necrotizing tracheobronchitis, and gastric rupture dictate a fastidious technique.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Ventilación con Chorro de Alta Frecuencia
/
Obstrucción de las Vías Aéreas
/
Anestesia por Inhalación
/
Laringoscopía
Tipo de estudio:
Etiology_studies
Límite:
Humans
/
Infant
/
Male
/
Newborn
Idioma:
En
Revista:
Paediatr Anaesth
Asunto de la revista:
ANESTESIOLOGIA
/
PEDIATRIA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Países Bajos