| Anaesthesia for microlaryngeal and laser laryngeal surgery: impact of subglottic jet ventilation. | |
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MedLine Citation:
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PMID: 20053309 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Over the past 20 years, jet ventilation techniques have been developed to enable safe and controlled microlaryngoscopy and the accurate treatment of laryngeal pathology. This study examined how advances in jet ventilation tube design have facilitated safe endolaryngeal surgery. STUDY DESIGN: The study documented the development and use of the Jockjet subglottic jet ventilation tube system at the Prince of Wales Hospital, Sydney. The new system consisted of two components: a Teflon tube with an outer diameter of 4 mm at the larynx, and a companion ventilator. The facility for end-tidal carbon dioxide and distal airways pressure monitoring was incorporated via dedicated channels. The Venturi jet was produced via a covered tip to prevent trauma to the tracheal mucosa. SETTING: The Prince of Wales and Sydney Children's Hospitals, incorporated with The University of New South Wales. PATIENTS: From June 2002 to March 2008 inclusive, 1000 consecutive patients underwent microlaryngeal surgery at this institution. Subglottic jet ventilation, via the Jockjet tube, was employed for 332 patients. MAIN OUTCOME MEASURES: Anaesthetic safety and intra-operative surgical access.Results:In all the 332 patients observed, surgical access was optimised and no adverse anaesthetic outcomes were encountered. CONCLUSION: Subglottic jet ventilation facilitates safe airway management during microlaryngeal and laser laryngeal surgery. |
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Authors:
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M Barakate; E Maver; G Wotherspoon; T Havas |
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Publication Detail:
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Type: Journal Article Date: 2010-01-06 |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: 124 ISSN: 1748-5460 ISO Abbreviation: J Laryngol Otol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-24 Completed Date: 2010-08-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: England |
Other Details:
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Languages: eng Pagination: 641-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology Head and Neck Surgery, Auburn Hospital, Australia. barakate@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Air Pressure Child Female Glottis High-Frequency Jet Ventilation / methods* Humans Laryngeal Diseases / surgery* Larynx / surgery* Laser Therapy / instrumentation, methods* Male Microsurgery / instrumentation, methods* Middle Aged Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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