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Chapter 33 - The Airway in Anaesthesia for Transoral Robotic Surgery

from Section 2 - Airway Management: Clinical Settings and Subspecialties

Published online by Cambridge University Press:  03 October 2020

By
Rasmus Winkel  and
Michael Seltz Kristensen
Edited by
Tim Cook  and
Michael Seltz Kristensen
Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
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Summary

Transoral robotic surgery (TORS) allows resection of otherwise inaccessible pathology. It generates unique challenges to the airway management of the patient due to the shared location of the anaesthetist and the surgeon’s equipment. A close cooperation between the anaesthetic and surgical team is required, for the safe handling of the airway. The anaesthetist needs to be able to employ a variety of airway manoeuvres in order to ensure the airway patency throughout the perioperative and post-operative period. The airway of the TORS patient is characterised by its dynamic nature, as it changes due to the surgery, swelling and bleeding.

Keywords

Airway bleedingdelayed extubationdifficult airwayoral robotic surgeryperioperative loss of airwaywiretubes
Type
Chapter
Information
Core Topics in Airway Management , pp. 290 - 292
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Chi, JJ, Mandel, JE, Weinstein, GS, O’Malley, BW Jr. (2010). Anesthetic considerations for transoral robotic surgery. Anesthesiology Clinics, 28, 411–422.CrossRefGoogle ScholarPubMed
Jeyarajah, J, Ahmad, I, Jacovou, E. (2018). Anaesthesia and perioperative care for transoral robotic surgery Journal for Otorhinolaryngology and its Related Specialties, 80, 125–133.CrossRefGoogle ScholarPubMed
Stubbs, VC, Rajasekaran, K, Gigliotti, AR, et al. (2018). Management of the airway for transoral robotic supraglottic partial laryngectomy. Frontiers in Oncology, 8, 312CrossRefGoogle ScholarPubMed

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