PDF(Pubmed)
Abstract：
UNASSIGNED: Airway obstruction in a child requires expedite management in addition to comprehensive discussion between the Otolaryngology and Anaesthesiology team to formulate a treatment plan to ensure safe airway. Juvenile-onset recurrent respiratory papillomatosis (JORRP) is an exophytic benign laryngeal lesion which poses a great challenge when presented with respiratory distress.
UNASSIGNED: This paper presents a novel, safe and cost-effective approach to temporary tracheal ventilation of the obstructed airway in a child with juvenile-onset recurrent respiratory papillomatosis using the laryngeal suction tube connected to general anaesthetic (GA) machine.
UNASSIGNED: Rigid laryngeal suction tube is placed through the side-port of Lindholm laryngoscope and connected to breathing circuit of GA machine. Manual bagging ventilation with 100% FiO2 achieved good oxygenation throughout the debulking of the papilloma without hindering the surgical field. Our technique utilizes the readily available equipment whilst enabling safe anaesthesia and providing good surgical field during excision of obstructive papillomatous airway lesion.
UNASSIGNED: This paper presents a novel, safe and cost-effective approach to temporary tracheal ventilation of the obstructed airway in a child with juvenile-onset recurrent respiratory papillomatosis using the laryngeal suction tube connected to general anaesthetic (GA) machine.
UNASSIGNED: Rigid laryngeal suction tube is placed through the side-port of Lindholm laryngoscope and connected to breathing circuit of GA machine. Manual bagging ventilation with 100% FiO2 achieved good oxygenation throughout the debulking of the papilloma without hindering the surgical field. Our technique utilizes the readily available equipment whilst enabling safe anaesthesia and providing good surgical field during excision of obstructive papillomatous airway lesion.
摘要：
■儿童的气道阻塞除了耳鼻喉科和麻醉科团队之间进行全面讨论以制定治疗计划以确保安全的气道外，还需要加快治疗。幼年性复发性呼吸道乳头状瘤病（JORRP）是一种外生性良性喉部病变，当出现呼吸窘迫时，它构成了巨大的挑战。
■本文提出了一种新颖的，使用连接到全身麻醉（GA）机的喉管，对患有青少年发作的复发性呼吸道乳头状瘤病的儿童进行气道阻塞的临时气管通气的安全且具有成本效益的方法。
■刚性喉管通过Lindholm喉镜的侧口放置，并连接到GA机的呼吸回路。使用100％FiO2的手动装袋通气在整个乳头状瘤缩小过程中都能实现良好的氧合，而不会阻碍手术领域。我们的技术利用了现成的设备，同时实现了安全的麻醉，并在切除阻塞性乳头状瘤气道病变期间提供了良好的手术视野。
■本文提出了一种新颖的，使用连接到全身麻醉（GA）机的喉管，对患有青少年发作的复发性呼吸道乳头状瘤病的儿童进行气道阻塞的临时气管通气的安全且具有成本效益的方法。
■刚性喉管通过Lindholm喉镜的侧口放置，并连接到GA机的呼吸回路。使用100％FiO2的手动装袋通气在整个乳头状瘤缩小过程中都能实现良好的氧合，而不会阻碍手术领域。我们的技术利用了现成的设备，同时实现了安全的麻醉，并在切除阻塞性乳头状瘤气道病变期间提供了良好的手术视野。
