Clinical Procedure
Aliases:
Topic aliases are alternate phrasings for a particular topic.
Rigid esophagoscopy
The patient is at risk of oesophageal rupture if they cough during oesophagoscopy. This is complication associated with significant mortality. Have the patient deeply anesthetised and consider muscle relaxation.
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Sep 05, 2012
If the procedure is being performed for removal of a foreign body in the unfasted patient, weigh up the clinical presentation (pain, distress) with the risks of aspiration when deciding on whether or not to proceed.
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Jun 03, 2012
Retrieval of oesophageal foreign bodies is generally quick. Repeated boluses of suxamethonium will provide deep, short duration relaxation. Take note of potential bradycardia with repeated doses and either treat with atropine if it occurs, or pretreat with atropine prior to the second dose.
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Jun 03, 2012
For children. IV or gas induction. ETT. Suxamethonium (~2mg/kg) for intubation or immediately prior to oesophagoscopy. 1-2mcg/kg fentanil 3-5min prior to surgical instrumentation. If needing another dose of suxamethonium, administer 5-10mg/kg atropine prior to administering further suxamethonium at about 25% of previous dose.
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Sep 30, 2011