Anaesthesia for pharyngolaryngectomy and colon replacement

Abstract

Summary: Anaesthesia employing a hypotensive technique has been used in twenty-nine operations for total pharyngolaryngectomy and colon replacement of the pharynx. Arterial hypotension to levels of 40-65 mm Hg was maintained for the duration of the neck dissection. The averge volume of blood replaced during the operation was 2 litres and this was considered to be considerably less than what would have been required without the use of a hypotensive techinique. The blood pressure was restored to a normal level prior to transposition of the colon and continuous electrocardiographic and electroencephalographic monitoring were employed. © 1969 John Sherratt and Son Ltd.