Thanks Rachel for your great work at this exam!50yo Male (80kg) presents for your ENT list for a biopsy +/- removal of vocal cord tumour. What specifics would you like to know on assessment?        Hx of lesion includesDiagnosisMass effect Critical structure effects - effects on the airway, symptoms, positional and rapidity of progressionMetsMetabolic effects of mass meds and treatmentsCauseand complications How do you prepare/mitigate the risk of laser ?                                                                                    Patient: low fiO2. Wet gauze. Saline bucket. ETT, matt instrumentsSafety officers. Laser testing. Goggles. 1 footplate. Warning signs, mask for plumeAirway optionsClosed systems: ETT/MLT/Laserflex Advantages are: Familiarity, Protects airway, Control of ventilation, Minimal pollution                                                                                                                Open systems: intermittent apnoea, Jet ventilation via  hunsaker, benjet, suspension laryngscope, transcricoid puncture.Advantages are: Better view of larynx. Laser safe if no ignition source                  Please rate, post a review and subscribe!Check out https://anaesthesiacollective.com/ for more useful information and dates for the Viva Boot Camp course for the part 2 ANZCA exam.and check out the ABCs of Anaesthesia YouTube channel for more contenthttps://www.youtube.com/c/ABCsofAnaesthesiaIf you have any questions, please email anaesthesiapodcast@gmail.com  Andrew Heards fantastic Youtube resource! https://youtu.be/SbhEyGIf9Y4Disclaimer:The information contained in this podcast is for medical practitioner education only. It is not and will not be relevant for the general public.This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. The medical information is provided “as is” without any representations or warranties, express or implied. The presenter makes no representations or warranties in relation to the medical information on this episode. You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewingThe information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.The information presented here does not represent the views of any hospital or ANZCA.These podcasts are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements.