Paediatric airway surgery recipe

e.g. laryngo-tracheo-bronchoscopy

Standard induction (IV or gas)

Maintenance using TIVA:

  • propofol 400 -> 300 -> 100 mcg/kg/min
  • remi 0.2 – 0.1 mcg/kg/min

Laryngoscopy:

  • Use to judge adequate depth of anaesthesia
  • insert nasal uncuffed (standard) ETT to level just proximal to cords
  • Spray larynx/cords/distally – take max allowed dose of lignocaine 10%, dilute to make up to desired volume, spray using MAD/atomiser

Ventilation:

  • Aim for spontaneous ventilation of oxygen enriched air while applying PEEP with bag
  • Can hand ventilate if mouth is closed (but risks insufflation of stomach)

Emergence of spontaneously breathing patient with NPA

– KP @ LRI

One thought on “Paediatric airway surgery recipe

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s