can be performed with the help of rigid or flexible instruments and produces a rapid recanalization of the airway along with immediate relief of obstructive symptoms.
Systemic air embolism during laser bronchoscopy
. Anaesthesia 1988; 43:872-875.
SEATTLE -- Laser bronchoscopy should be considered as an adjunct to balloon dilation for the treatment of benign tracheal stenosis, Maria del Mar Cirino-Marcano, M.D., reported in a poster session at the annual meeting of the American College of Chest Physicians.
She and her associates retrospectively reviewed the medical charts of 26 patients with benign tracheal stenosis secondary to endotracheal intubation or tracheostomy who were treated with balloon dilation with or without laser bronchoscopy.
The patient was taken to the operating room for laser bronchoscopy
, and the strictured area was dilated and the airway restored to a near-normal status.
(8) Six of these nine complications were life-threatening; five involved a fire in the endotracheal tube and one involved the ignition of a dry sponge that was placed over a tracheostomy in a pediatric patient during laser bronchoscopy
for papillomatosis of the tracheobronchial tree.