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Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report
BACKGROUND: Airway management and anesthesia during endolaryngotracheal surgery in patients with obstructive airway diseases pose a major challenge for anesthesiologists, especially in pediatric patients. Children with obstructive airway disease often have a potentially difficult airway. Adequate ai...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834946/ https://www.ncbi.nlm.nih.gov/pubmed/36643668 http://dx.doi.org/10.21037/tp-22-218 |
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author | Tang, Miao-Miao Xu, Zhao Ren, Jia Zou, Jian Chen, Guo |
author_facet | Tang, Miao-Miao Xu, Zhao Ren, Jia Zou, Jian Chen, Guo |
author_sort | Tang, Miao-Miao |
collection | PubMed |
description | BACKGROUND: Airway management and anesthesia during endolaryngotracheal surgery in patients with obstructive airway diseases pose a major challenge for anesthesiologists, especially in pediatric patients. Children with obstructive airway disease often have a potentially difficult airway. Adequate airway assessment and preparation before anesthesia is essential. In the formulation of the entire anesthesia strategy, the choice of ventilation mode is the most critical. Superimposed high-frequency jet ventilation (SHFJV) is an enormous step forward in the progress of difficult surgery of the larynx and trachea in neonates, infants and children. However, due to objective factors, it has not been extensively applied worldwide. CASE DESCRIPTION: In this article, our airway management strategy and clinical anesthesia experience is presented in a precisely designed, non-invasive and “tubeless” supraglottic SHFJV technique. This technique was used during a successful endolaryngotracheal surgery in a 3-year-old child with congenital subglottic stenosis under total intravenous anesthesia (TIVA) with propofol and remifentanil. Ultimately, the entire procedure and anesthesia were successful, and the child received effective treatment. CONCLUSIONS: By summarizing and sharing our airway management strategy and clinical anesthesia experience in this case, anesthesiologists may have a clearer understanding of the challenges in this type of surgery. This case may add a valuable reference for the extensive application of SHFJV in endolaryngotracheal surgery. |
format | Online Article Text |
id | pubmed-9834946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-98349462023-01-13 Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report Tang, Miao-Miao Xu, Zhao Ren, Jia Zou, Jian Chen, Guo Transl Pediatr Case Report BACKGROUND: Airway management and anesthesia during endolaryngotracheal surgery in patients with obstructive airway diseases pose a major challenge for anesthesiologists, especially in pediatric patients. Children with obstructive airway disease often have a potentially difficult airway. Adequate airway assessment and preparation before anesthesia is essential. In the formulation of the entire anesthesia strategy, the choice of ventilation mode is the most critical. Superimposed high-frequency jet ventilation (SHFJV) is an enormous step forward in the progress of difficult surgery of the larynx and trachea in neonates, infants and children. However, due to objective factors, it has not been extensively applied worldwide. CASE DESCRIPTION: In this article, our airway management strategy and clinical anesthesia experience is presented in a precisely designed, non-invasive and “tubeless” supraglottic SHFJV technique. This technique was used during a successful endolaryngotracheal surgery in a 3-year-old child with congenital subglottic stenosis under total intravenous anesthesia (TIVA) with propofol and remifentanil. Ultimately, the entire procedure and anesthesia were successful, and the child received effective treatment. CONCLUSIONS: By summarizing and sharing our airway management strategy and clinical anesthesia experience in this case, anesthesiologists may have a clearer understanding of the challenges in this type of surgery. This case may add a valuable reference for the extensive application of SHFJV in endolaryngotracheal surgery. AME Publishing Company 2022-12 /pmc/articles/PMC9834946/ /pubmed/36643668 http://dx.doi.org/10.21037/tp-22-218 Text en 2022 Translational Pediatrics. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Case Report Tang, Miao-Miao Xu, Zhao Ren, Jia Zou, Jian Chen, Guo Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
title | Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
title_full | Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
title_fullStr | Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
title_full_unstemmed | Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
title_short | Superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
title_sort | superimposed high-frequency jet ventilation used for endolaryngotracheal surgery in a child with congenital subglottic stenosis: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834946/ https://www.ncbi.nlm.nih.gov/pubmed/36643668 http://dx.doi.org/10.21037/tp-22-218 |
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