Role of the neodymium YAG laser in the management of tracheal tumours.

作者: P J George , C P Garrett , M R Hetzel

DOI: 10.1136/THX.42.6.440

关键词: Respiratory distressTracheal obstructionAnesthesiaSurgeryAsphyxiaRespiratory diseaseRadiation therapyGeneral anaesthesiaNeodymium-YAG laserLaser treatmentMedicinePulmonary and Respiratory Medicine

摘要: Twenty one patients with tracheal tumours (10 primary and 11 secondary) have been treated the neodymium YAG laser under general anaesthesia. Fourteen of these presented impending asphyxia in cases this was dramatically relieved emergency treatment. The improvements peak expiratory flow (PEF) ranged from 26% to 512%. three who did not respond were immediately given other treatments but died hospital. remaining seven severe respiratory distress electively; all thought benefited their treatment, mean increase PEF being 36%. improvement obtained responded treatment provided time which assess disease carefully plan most appropriate longer term management surgery, radiotherapy, stenting, or repeat electively either required further managed alone. Laser provides an excellent method resuscitating life threatening obstruction enables subsequent be planned. In some should

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