A Severe Complication After Laser-Induced Damage to a Transtracheal Catheter During Endoscopic Laryngeal Microsurgery

Leemann, Bettina; Heidegger, Thomas; Grossenbacher, R.; Schnider, Thomas W.; Gerig, Hans J.

doi:10.1213/01.ane.0000117144.16826.61

Cited by 10 publications

(8 citation statements)

References 12 publications

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“…Gas might thence have leaked into the mediastinum and ultimately breached the parietal pleura. Similar gas distributions have been reported by this mechanism [8–11]. We believe that direct bursting of the visceral pleura as a source of the pneumothorax is unlikely because of the lack of ‘tension’ and absence of a persistent pulmonary leak after drainage.…”

Section: Discussionsupporting

confidence: 84%

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter^® during airway resuscitation

2006

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Summary We report the management of a patient requiring surgical laryngoscopy with a view to laser resection of an epiglottic recurrence of laryngeal cancer. Previous attempts at tracheal intubation and awake nasal fibreoptic intubation had failed. During a previous anaesthetic the patient had been both ‘impossible to intubate and to ventilate’. Neck scarring potentially complicated access for transtracheal jet ventilation. Nevertheless, a cricothyroid catheter was placed and surgery performed during low frequency ‘volume’ jet ventilation. Upper airway obstruction developed during the procedure, preventing exhalation, which led to raised intrathoracic pressure, cardiovascular collapse and barotrauma. The airway was re‐established by insertion of an LMA Proseal™. Fibreoptic placement of an Aintree intubation catheter® through this allowed re‐oxygenation and exchange for a cuffed tracheal tube. Some hours after the procedure, re‐intubation was necessary. This was achieved using the Aintree intubation catheter as an aid to nasal fibreoptic intubation and as a tube exchanger. Novel roles of the Aintree intubation catheter and LMA Proseal in this case are discussed. Complications of transtracheal jet ventilation as well as possible methods for avoiding them are also reviewed.

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Section: Discussionsupporting

confidence: 84%

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter^® during airway resuscitation

2006

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“…To avoid barotrauma, the key point is to maintain an easy outflow of air/oxygen outflow . In the case of trachea‐bronchial mucosa damage, it is also not suitable to use either jet ventilation or controlled ventilation .…”

Section: Discussionmentioning

confidence: 99%

Controlled ventilation or spontaneous respiration in anesthesia for tracheobronchial foreign body removal: a meta‐analysis

Liu

Chen

2014

Pediatric Anesthesia

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“…However, thermal injury to vocal cords and postoperative edema are limiting factors for its liberal use. 12,13 The high cost of laser equipment limits its availability in resource-starved countries.…”

Section: Discussionmentioning

confidence: 99%

Plasma Ablation–Assisted Endoscopic Management of Postintubation Laryngotracheal Stenosis: An Alternate Tool for Management

Virk

Bansal

Nayak

et al. 2019

Otolaryngol.--head neck surg.

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The current study was conducted to highlight the use of plasma ablation as a promising method in management of adult laryngotracheal stenosis. We present our institutional experience with a minimum follow-up of 6 months. Seventy adult patients with acquired postintubation laryngotracheal stenosis were included. Efficacy and clinical outcomes of plasma ablation in endoscopic management and eventual decannulation rate were studied. Number of patients with Myer-Cotton stenosis grades 1, 2, 3, and 4 were 20, 25, 18, and 7, respectively. The mean number of surgical interventions required in each grade of stenosis were 1, 2, 3.8, and 4, respectively. Overall, 47 patients (67%) were without tracheotomy by the end of 6 months. Plasma ablation is an effective treatment option for adult laryngotracheal stenosis, with a better success rate for lower-grade stenosis. It has lesser complications and requires fewer surgical interventions.

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A Severe Complication After Laser-Induced Damage to a Transtracheal Catheter During Endoscopic Laryngeal Microsurgery

Abstract: The percutaneous transtracheal jet ventilation for elective laryngeal laser surgery reduces the risk of airway fires and gives a free endoscopic operative field. This case report suggests that, even when using a teflon catheter, laser-induced damage with severe complications might occur.

Cited by 10 publications

References 12 publications

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter^® during airway resuscitation

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter^® during airway resuscitation

Controlled ventilation or spontaneous respiration in anesthesia for tracheobronchial foreign body removal: a meta‐analysis

Plasma Ablation–Assisted Endoscopic Management of Postintubation Laryngotracheal Stenosis: An Alternate Tool for Management

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A Severe Complication After Laser-Induced Damage to a Transtracheal Catheter During Endoscopic Laryngeal Microsurgery

Abstract: The percutaneous transtracheal jet ventilation for elective laryngeal laser surgery reduces the risk of airway fires and gives a free endoscopic operative field. This case report suggests that, even when using a teflon catheter, laser-induced damage with severe complications might occur.

Cited by 10 publications

References 12 publications

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter® during airway resuscitation

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter® during airway resuscitation

Controlled ventilation or spontaneous respiration in anesthesia for tracheobronchial foreign body removal: a meta‐analysis

Plasma Ablation–Assisted Endoscopic Management of Postintubation Laryngotracheal Stenosis: An Alternate Tool for Management

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Product

Resources

About

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter^® during airway resuscitation

A complication of transtracheal jet ventilation and use of the Aintree intubation catheter^® during airway resuscitation