Prevention of barotrauma during intratracheal jet ventilation

Incidence, characteristics and outcome of barotrauma during open lung ventilation

[Incidence, characteristics and outcome of barotrauma during open lung ventilation].

OBJECTIVE To describe the incidence and main clinical characteristics of barotrauma during open lung ventilation (OLV). DESIGN A retrospective, observational, descriptive study was made of 100 patients with acute respiratory failure and bilateral pulmonary infiltrates. INTERVENTIONS 1) A lung recruitment maneuver (LRM) with fixed ventilation pressure and progressive positive end-expiratory ...

Intratracheal Pulmonary Ventilation

Study objective: The pulmonary parenchyma in patients with acute respiratory failure (ARF) is commonly not involved in a homogenous disease process. Conventional mechanical ventilation (MV) at elevated positive end-expiratory pressure (PEEP) and peak inspiratory pressure (PIP) aims at recruiting collapsed or nonventilated lung units. Invariably, those pressures are also transmitted to the healt...

Manual jet ventilation v. high frequency jet ventilation during laser resection of tracheo-bronchial stenosis.

Manual jet ventilation (20 b.p.m.) and high frequency jet ventilation (300 b.p.m.) were compared during laser resection of tracheo-bronchial stenosis under general anaesthesia. Both methods provided similar blood-gas tensions at the 10th min of surgery in patients with tracheal stenosis. In patients with bronchial stenosis high frequency jet ventilation resulted in modest hypercarbia and manual...

Jet ventilation through jet stylets.

To the Editor-The case report by Baraka’ of jet ventilation through an airway exchange catheter (Cook Critical Care, Bloomington, IL) complicated by tension pneumothorax and cardiac asystole highlights some of the serious dangers of jet ventilation. I would like to focus on three aspects of the case report. The lessons from these can be added to the recommendations made by Baraka at the end of ...