Objective: To evaluate the feasibility of Apneic anesthesia with intermittent ventilation (AAIV) during laryngeal papillomatosis removal in children.
Methods: The clinical data of 30 patients with laryngeal papillomatosis treated in the Tong Ren Hospital of Capital University of Medical Sciences, between 10 - 12 2011 were analyzed. Thirty ASA physical status I or II patients who were scheduled for elective surgery. The patients were ventilated with 100% oxygen and the period of intermittent apnea were guided by pulse oximetry, the endotracheal tube was removed when SpO2 was 100% and reinserted when SpO2 was 95%.
Result: The average duration of apnea was (232 ± 32) s. This technique provided a good visualization and immobile field for operation. No significant complications have occurred with AAIV.
Conclusion: Apneic anesthesia with intermittent ventilation could be used without any serious adverse outcome for juvenile-onset recurrent laryngeal papillomatosis, 232 seconds can provided for surgery every AAIV.
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