Transoral laser microsurgery using high‐flow nasal cannula oxygenation

: Our experience of 21 cases

Susanne Flach, Azza Elhoweris, Samit Majumdar, Simon Crawley, Jaiganesh Manickavasagam


Abstract

Optimal access and visualisation is crucial during TLM, however, airway management can be challenging.

Oxygenation via HFNC provides a safe and effective way for airway management during tubeless field anaesthesia in TLM.

HFNC oxygenation during TLM is well tolerated and avoids risks associated with other methods of tubeless field anaesthesia.

HFNC oxygenation during TLM should only be used in appropriate clinical situations for selected cases.

HFNC oxygenation during TLM should only be used with a consultant level operator and consultant anaesthetist involvement, necessary safety precautions in place, while keeping the components of the fire triad in mind.