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Canadian Journal of Anesthesia, Vol 39, 590-593, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthetic management of infants requiring endobronchial argon laser surgery

AG Bailey, RD Valley, RG Azizkhan and RE Wood
Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill 27514.

Small infants with endobronchial lesions primarily due to traumatic suction catheter injuries are now undergoing argon laser surgery to remove obstructive tissue. Providing an anaesthetic for these infants can be challenging because of the small airways involved which must be shared by the anaesthetist and the surgeon. We have performed 30 argon laser endobronchial surgeries in nine infants. The lungs of the majority of patients were ventilated through a tracheostomy intraoperatively, while the surgeon passed the argon laser fibre through the suction port of a fibreoptic bronchoscope which was passed trans-nasally. Three infants were too small to allow passage of the fibreoptic bronchoscope past an artificial airway. In these patients surgery and ventilation were accomplished through a rigid bronchoscope. Three larger patients without tracheostomies were managed with a modified nasal airway for intraoperative ventilation in conjunction with the fibreoptic bronchoscope.




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Copyright © 1992 by the Canadian Anesthesiologists' Society.