Part 2 anaesthesia viva demo with Rachel - Airway surgery

Thanks Rachel for your great work at this exam!
50yo Male (80kg) presents for your ENT list for a biopsy +/- removal of vocal cord tumour.
What specifics would you like to know on assessment?
Hx of lesion includes
Diagnosis
Mass effect
Critical structure effects - effects on the airway, symptoms, positional and rapidity of progression
Mets
Metabolic effects of mass
meds and treatments
Cause
and complications
How do you prepare/mitigate the risk of laser ?
Patient: low fiO2. Wet gauze. Saline bucket. ETT, matt instruments
Safety officers. Laser testing. Goggles. 1 footplate. Warning signs, mask for plume
Airway options
Closed systems: ETT/MLT/Laserflex
Advantages are: Familiarity, Protects airway, Control of ventilation, Minimal pollution
Open systems: intermittent apnoea, Jet ventilation via hunsaker, benjet, suspension laryngscope, transcricoid puncture.
Advantages are: Better view of larynx. Laser safe if no ignition source
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• 02 Scalpel Bougie
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[@babonjuguini1563]

Watching from Kenya. Preparing for my part II. Please continue to make these viva videos

[@hockeynpolo1]

I would love to see more videos like this

[@house2job]

good video . well done Dr Amaratunge

[@ABCsofAnaesthesia]

Glad you liked it!