PMID: 9450829Feb 5, 1998Paper

A new anesthetic system for microlaryngeal surgery

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
C R BrookerA A Zimmerman

Abstract

Anesthesia for microlaryngeal surgery creates many obstacles for the anesthesiologist and otolaryngologist. Anesthetic techniques developed to improve surgical exposure have been met with significant limitations and are difficult for the anesthesiologist to monitor. A new subglottic jet ventilation anesthesia system is introduced that meets the needs of the otolaryngologist and the anesthesiologist. This new system is made up of two components: (1) The Hunsaker Mon-Jet tube is a laser-safe, subglottic jet ventilation tube constructed of a nonflammable fluoroplastic material. It allows monitoring of tracheal pressure and end tidal carbon dioxide, and it is designed with a basket-shaped distal extension to align the jet port away from the tracheal mucosa and to prevent trauma and submucosal injection of jetted gas. (2) An automatic jet ventilator, which has an adjustable respiratory rate, inspiratory/expiratory ratio, and flow rate, also monitors expiratory end peak airway pressures and has an automatic shutdown feature if either of these pressures are exceeded. This system was successfully used in 36 patients undergoing microlaryngeal surgery.

References

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Citations

Mar 20, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Joanna M DaviesKaren L Posner
Oct 17, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Joon Kyoo LeeSang Chul Lim
Sep 27, 2001·Anesthesiology Clinics of North America·K McRae
Sep 26, 2003·Journal of Clinical Anesthesia·Junko MiyawakiKazuo Higa
Jan 8, 2010·The Journal of Laryngology and Otology·M BarakateT Havas
Dec 31, 2002·Anesthesia and Analgesia·M Carmen UnzuetaJ Manuel V Landeira
Aug 7, 2012·The Laryngoscope·Amanda HuAllen D Hillel
Mar 18, 2008·Logopedics, Phoniatrics, Vocology·Anil Patel, John S Rubin
Jul 17, 2019·BMJ Case Reports·Poonam Pai Bh, Ali N Shariat

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