Jet Ventilation for the Excision of Vocal Cord Polyps in a Pregnant Patient

The anaesthetic management of patients presenting with laryngeal tumours and airway obstruction is difficult. We present the case of a pregnant woman at 30 weeks gestation who underwent surgical removal of two vocal cord polyps under general anaesthesia using jet ventilation

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Ear, nose and throat surgery

10.1093/med/9780198853053.003.0031 ◽

2021 ◽

pp. 755-782

Author(s):

Grant Turner

Keyword(s):

Airway Obstruction ◽

Nasal Cavity ◽

Neck Dissection ◽

Surgical Procedures ◽

Radical Neck Dissection ◽

Anaesthetic Management ◽

Jet Ventilation ◽

Ent Surgery ◽

Nose And Throat

This chapter discusses the anaesthetic management of ear, nose and throat (ENT) surgery (otolaryngological surgery). It begins with a discussion of relevant general principles (including the shared airway), and covers airway obstruction and jet ventilation. Surgical procedures covered include grommet insertion; tonsillectomy; adenoidectomy; myringoplasty; stapedectomy; tympanoplasty; nasal cavity surgery; microlaryngoscopy; tracheostomy; laryngectomy; radical neck dissection, and parotidectomy. It includes pertinent anaesthetic features for a series of additional miscellaneous ENT procedures.

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Anaesthesia for non-obstetric surgery

Obstetric Anaesthesia ◽

10.1093/med/9780199688524.003.0022 ◽

2020 ◽

pp. 569-576

Author(s):

Martin Garry

Keyword(s):

Pregnant Woman ◽

General Anaesthesia ◽

Emergency Surgery ◽

Fetal Loss ◽

Fetal Monitoring ◽

Anaesthetic Management ◽

Management Plan ◽

Premature Labour ◽

Obstetric Surgery

It is not uncommon for a woman to require urgent or emergency surgery for many differing co-incidental reasons during pregnancy. It invariably causes a degree of concern to both the woman and the responsible anaesthetist, particularly if general anaesthesia is necessary, as surgery can precipitate onset of premature labour and fetal loss. This chapter highlights the anaesthesia and surgical issues for the pregnant woman, recommendations for fetal monitoring and the effect of anaesthesia drugs on the developing fetus. An anaesthetic management plan is set out based on the pregnancy trimester, with postpartum considerations highlighted.

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Emergency tracheal catheterization for jet ventilation: a role for the ENT surgeon?

The Journal of Laryngology & Otology ◽

10.1258/0022215053561639 ◽

2005 ◽

Vol 119 (3) ◽

pp. 235-236 ◽

Cited By ~ 7

Author(s):

T D A Standley ◽

H L Smith

Keyword(s):

Respiratory Failure ◽

Airway Obstruction ◽

General Anaesthesia ◽

Laryngeal Carcinoma ◽

Upper Airway ◽

Cricothyroid Membrane ◽

Failed Intubation ◽

Jet Ventilation ◽

Life Saving ◽

Partial Upper Airway Obstruction

Stridor causing respiratory failure is an ENT and anaesthetic emergency requiring prompt management to secure a clear airway. We describe a case of subacute partial upper airway obstruction due to a large laryngeal carcinoma in an 81-year-old male resulting in respiratory failure. The patient became apnoeic after gaseous induction of general anaesthesia, and after two failed intubation attempts an emergency transtracheal airway catheter was placed by the surgeon under direct vision below the cricothyroid membrane, as this had tumour involvement. The patient was subsequently manually jet-ventilated with ease until a formal tracheostomy was made. Where difficulties with tracheal anatomy are encountered due to the presence of pathology, the insertion of a temporary airway catheter for jet ventilation by the surgeon can buy valuable time and be life-saving.

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