Anaesthesia for Laryngoscopy and Microlaryngeal Surgery in Children

Abstract

The problems of anaesthesia for laryngoscopy and microlaryngeal surgery in children are discussed. The author's current techniques are described. For laryngoscopy, deep inhalational anaesthesia with halothane, combined with the topical application of lignocaine, is most commonly used. Microlaryngeal surgery may be performed using a pharyngeal insufflation technique to give unobstructed surgical access to the larynx. In other cases, tracheal intubation is acceptable to the surgeon, and may be used with spontaneous respiration or with muscle paralysis and controlled ventilation. Other methods, past and present, are reviewed.