Interdisciplinary cooperation in CO2 laser microsurgery of larynx in general anaesthesia with jet ventilation

Background: Microsurgery of larynx requires free access to the operation field. It is possible under general anaesthesia with high frequency jet ventilation. Shared upper airway demands anaesthesiologist and surgeon cooperation. Methods: 40 patients scheduled for laser CO2 microsurgery were included in the study. 20 of patients presented malignant pathology and 20 benign lesions. Anaesthetic risk was assessed in ASA-scale. Patients under 18 and above 80 years old, with severe COPD and renal or hepatic failure were excluded. This article deals with preoperative assessment and management of general anaesthesia. Conditions for intubation were assessed using Krieg-score and conditions for surgery were assessed by surgeon using Likert-scale. Results: Presented method of anaesthesia enables efficient and safe surgical treatment. Conditions for surgery were highly scored by surgeon. Discussion: High risk of complications is associated with microsurgery of larynx under general anaesthesia with jet ventilation. Close cooperation between surgical and anaesthetic teams is essential for safety of this procedure.