Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses

Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses

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...

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Main Authors: Benjamin B. Bruins, Natasha Mirza, Ernest Gomez, Joshua H. Atkins
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2015/875053
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spelling doaj-c1bfe473585e4472ac6f04d8fd6e82a82020-11-24T23:04:22ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902015-01-01201510.1155/2015/875053875053Anesthetic Management for Laser Excision of Ball-Valving Laryngeal MassesBenjamin B. Bruins0Natasha Mirza1Ernest Gomez2Joshua H. Atkins3Department of Anesthesiology & Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Otorhinolaryngology, Head and Neck Surgery, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Otorhinolaryngology, Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Anesthesiology & Critical Care, Department of Otorhinolaryngology, Head and Neck Surgery, Perelman School of Medicine, The University of Pennsylvania, PA 19104, USAA 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.http://dx.doi.org/10.1155/2015/875053
collection DOAJ
language English
format Article
sources DOAJ
author Benjamin B. Bruins
Natasha Mirza
Ernest Gomez
Joshua H. Atkins
spellingShingle Benjamin B. Bruins
Natasha Mirza
Ernest Gomez
Joshua H. Atkins
Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses
Case Reports in Anesthesiology
author_facet Benjamin B. Bruins
Natasha Mirza
Ernest Gomez
Joshua H. Atkins
author_sort Benjamin B. Bruins
title Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses
title_short Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses
title_full Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses
title_fullStr Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses
title_full_unstemmed Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses
title_sort anesthetic management for laser excision of ball-valving laryngeal masses
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2015-01-01
description 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.
url http://dx.doi.org/10.1155/2015/875053
work_keys_str_mv AT benjaminbbruins anestheticmanagementforlaserexcisionofballvalvinglaryngealmasses
AT natashamirza anestheticmanagementforlaserexcisionofballvalvinglaryngealmasses
AT ernestgomez anestheticmanagementforlaserexcisionofballvalvinglaryngealmasses
AT joshuahatkins anestheticmanagementforlaserexcisionofballvalvinglaryngealmasses
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