Anaes SAQs · Head & neck / ENT anaesthesia
Shared airway and laser fire
Final-examination SAQ for shared-airway-laser-fire.
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Prompt
You are anaesthetising for CO2 laser resection of a vocal cord lesion. Describe shared airway options, fire prevention measures, and your step-by-step management of an airway fire.
Model answer
Shared airway (3). Laser tube vs tubeless/jet/apnoea; communication.
[2] [3]Prevention (6). Fire triad; low FiO2; no N2O; laser tube; saline cuff; wet packs; laser discipline.
[1]Fire management (6). Stop energy/gases; remove tube; saline; re-oxygenate; re-intubate; bronchoscopy; disposition.
[1]References3ShowHide
- [1]Apfelbaum JL et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology, 2013.PMID 23287706
- [2]Cook TM et al. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. British Journal of Anaesthesia, 2011.PMID 21447488
- [3]Frerk C et al. DAS 2015 guidelines for management of unanticipated difficult intubation in adults. British Journal of Anaesthesia, 2015.PMID 26556848