Anaesthesia for Laser Ablation and Debulking of Juvenile Onset Recurrent Respiratory Papillomata (RRP) Using Target Control Infusion (TCI) and Manujet 3 for High Pressure Source Ventillation (HPSV)

Laryngeal papilloma can lead to respiratory difficulties, obstruction, hypoxia and death. Diagnosis in children is delayed due to more common childhood illnesses. Fibre optic bronchoscopy is used for early diagnosis. In operations involving a shared airway, anesthesia involving TCI and jet ventilation (HPSV) is a good approach for surgical debulking of laryngeal papillomata. Adhering to safe practice guidelines will ensure a good outcome, minimise complications but its clinical practice requires skilled personnel. Apnoeic oxygenation is used in preventing early desaturation and maintaining oxygen saturation in procedures involving airway disease. Human Papilloma Virus (HPV) vaccination decreases the prevalence of the disease.