Laser airway surgery is coming to a theatre near you!
- Laser CO2 Goggles or keep > 300m away!
- Have an airway fire drill rehearsed!
Work out exactly where obstruction is:
Combined airway decision making:
- Laser ETT or Jet Ventilation (supra-glottic or sub-glottic)
Clear and explicit airway strategy:
- Plan A set-up and ready
- Plan B set-up and ready
- (“plan for failure”)
- MLT/laser tubes create a severe asthma type ventilation pattern.
- Set long expiratory time
- Tolerate higher peak inspiratory pressures (often reflect ETT rather than lungs)