Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses. (24th May 2015)

• Record Type: Journal Article
• Authors: Bruins, Benjamin B.; Mirza, Natasha; Gomez, Ernest; Atkins, Joshua H.
• Other Names: Michalek Pavel Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2015(2015)
• Publication Date: 2015-05-24
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2015/875053
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : A 47-year-old obese woman with GERD and COPD presents for CO2 -laser excision of bilateral vocal fold masses. She had a history of progressive hoarseness and difficulty in breathing. Nasopharyngeal laryngoscopy revealed large, mobile, bilateral vocal cord polyps that demonstrated dynamic occlusion of the glottis. We describe the airway and anesthetic management of this patient with a topicalized C-MAC video laryngoscopic intubation using a 4.5 mm Xomed Laser Shield II endotracheal tube. We examine the challenges of anesthetic management unique to the combined circumstances of a ball-valve lesion and the need for a narrow-bore laser compatible endotracheal tube.