The Hunsaker Mon-Jet tube with jet ventilation is effective for microlaryngeal surgery

摘要: Purpose Microlaryngeal surgery involves a delicate balance between airway control and appropriate visualization of laryngeal anatomy. When the self-centering, laser-safe Hunsaker Mon-Jet tube (Xomed, Jacksonville, FL) was introduced in 1994, to provide subglottic ventilation, needs both anesthesiologist surgeon appeared have been adequately met. However, limited data exists regarding efficacy this device large patient series. The aim cohort study explore spectrum patients procedures for which technique could be used. Methods We report retrospective 552 who had undergone microlaryngeal January 1995 June 2005, utilizing automated jet ventilator ventilation. In addition demographics, overall success ventilation several perioperative outcomes were evaluated, including incidence complications. Results combination with an automatic ventilator, successfully utilized more than 98% patients, those severe co-morbidities, obesity difficult access, providing optimal vocal cords excellent surgical access wide range disorders, laser treatment. less 2% hypoxia, hypercarbia, or both, necessitated exchange standard endotracheal rapid resolution precipitating cause. Conclusions Subglottic via may considered effective, safe versatile anesthetic management surgery.