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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 28(5); 1985 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1985;28(5): 548-52.
A Study of High Frequency Jet Ventilation during Laryngomicrosurgery
In Yong Park, MD, Won Pyo Hong, MD, Myung Hyun Chung, MD, Won Sang Lee, MD, In Gun Chun, MD, and Hong Lai Cho, MD
Department of Otolaryngology, Yonsei University College of Medicine, Seoul, Korea
고빈도환기법을 이용한 자보 후두현미경술의 임상적 고찰
박인용 · 홍원표 · 정명현 · 이원상 · 전인균 · 조홍래
연세대학교 의과대학 이비인후과학교실
ABSTRACT

With the wide acceptance of laryngomicrosurgery, many different methods have been introduced for maintainance of adequate respiration and the provision of a clear operative field. Several anesthetic techniques, such as the following have been used for diagnostic or operative laryngoscopy ; Topical anesthesias, apneic techniques, chest respirators, neuroleptanalgesics and general endotracheal anesthetics with muscle relaxants. Besides other common surgical risks, laser surgery has the heat effect on the endotracheal tube. In this study, we selected twenty patients who were anesthized by high frequency jet ventilation with intermittent intravenous anesthetics combined with d-tubocurarine or pancuronium as muscle relaxants. In group I(n=8), ventilation was maintained through a 16G angiocath introduced into the trachea through the cricothyroid membrane and in group II(n=12), ventilation was through a 5mm endotracheal catheter. In order to classify the effect of the anesthesia, we took two aterial blood samples, the first, under FiO2 1.0 mask ventilation and the second, 15 minutes after high frequency ventilation. The results are as follows : 1) In both groups, there was no significant change in the following parameters when compared to the control values(pH, PaO2, PaCO2). 2) This technique proved itself to provide easy visualization of the larynx and good access for surgical manupulation. 3) Lastly, there were no significant complications with this procedure. 

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