Anesthetic Considerations in Microlaryngoscopy and Direct Laryngoscopy

Abstract

Patients for microlaryngoscopy (ML Scopy) and direct laryngoscopy (DL Scopy) may present to the anesthesiologist from all ages, including pediatric, adult, and geriatric age groups. Proper preoperative evaluation, adequate intraoperative care, monitoring, and postoperative monitoring will provide successful outcome in these patients. These procedures are daycare procedures. The aim of anesthesiologist while dealing with such patients is maintaining adequate depth of anesthesia, maintaining adequate ventilation to the patients while giving enough time to the surgeon to diagnose and evaluate the definitive cause of airway disease. Anesthesiologists need to share the airway or maintain the ventilation in such a way as to give the surgeon proper and good visualization of the patient's airway. Use of shortacting and potent anesthetic agents will provide adequate intraoperative depth of anesthesia and speed up awakening and hence the postoperative recovery of the patient.

Spontaneous Ventilation With High‐Flow Nasal Oxygen for Elective Suspension Microlaryngoscopy

“…The complexity of these procedures is based on the sharing of the airways between the anesthetist and the surgeon. 1 Different anesthetic techniques are possible for SML. 2,3 Traditionally, general anesthesia with muscle relaxation and intubation is proposed.…”

“…It is a diagnostic and/or therapeutic technique with important constraints: it is necessary to allow the surgeon to carry out the procedure in the best possible conditions and to give the necessary time while ensuring the safety of patients with significant comorbidities. The complexity of these procedures is based on the sharing of the airways between the anesthetist and the surgeon 1 …”

“…The complexity of these procedures is based on the sharing of the airways between the anesthetist and the surgeon. 1 …”