Id. Conacher et al., ANESTHETIC MANAGEMENT OF LASER-SURGERY FOR CENTRAL AIRWAY-OBSTRUCTION- A 12-YEAR CASE SERIES, Journal of cardiothoracic and vascular anesthesia, 12(2), 1998, pp. 153-156
Citations number
28
Categorie Soggetti
Anesthesiology,"Peripheal Vascular Diseas","Cardiac & Cardiovascular System
The retrospective 12-year experience of anesthetizing patients with ce
ntral airway obstructions for laser treatment with a CO2 and two types
of Nd:YAG laser has been reviewed and evaluated. More than 300 patien
ts have been treated, many on several occasions. The beneficial effect
s of treatment to the majority of patients have been significant. Ther
e has been a small associated mortality because the majority are in th
e high-risk categories of fitness for anesthesia, but no clinical evid
ence that it is directly attributable to the techniques of anesthesia
or ventilation. Therefore, although laser technology has evolved into
systems suitable to be applied with fiberoptic bronchoscopes and local
and sedation anesthesia, the use of a rigid bronchoscope and the evol
ved techniques of anesthesia and ventilation remain appropriate to the
clinical needs and offer advantages. Copyright (C) 1998 by W.B. Saund
ers Company.