Transtracheal jet ventilation in 50 patients with severe airway compromise and stridor

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Transtracheal jet ventilation in 50 patients with severe airway compromise and stridor.

BACKGROUND Management of the airway is difficult in patients with pharyngeal or laryngeal pathology caused by malignancy, extensive surgery, or radiotherapy scarring, particularly when undergoing pharyngolaryngeal surgery. Tracheal intubation, with or without fibreoptic guidance, is often impractical because of the severe glottic stenosis and primary tracheostomy under local anaesthesia has bee...

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Transtracheal jet ventilation in patients with severe airway compromise and stridor.

Editor—We read with interest the article on transtracheal jet ventilation (TTJV) in patients with severe airway compromise by Ross-Anderson and colleagues. We agree with the authors regarding the enormous value of the pause pressure protection offered by automated jet ventilators in the elective setting. Protection from barotrauma is just as important in the emergency obstructed airway. The Ven...

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Percutaneous Transtracheal Jet Ventilation with Various Upper Airway Obstruction

A "cannot-ventilate, cannot-intubate" situation is critical. In difficult airway management, transtracheal jet ventilation (TTJV) has been recommended as an invasive procedure, but specialized equipment is required. However, the influence of upper airway resistance (UAR) during TTJV has not been clarified. The aim of this study was to compare TTJV using a manual jet ventilator (MJV) and the oxy...

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Transtracheal jet ventilation in a porcine model

Hypoxemia is a frequent event during difficult airway management. We propose to use transtracheal jet ventilation (TTJV) early during the management of complex difficult airway scenarios. The objective of this porcine study is to highlight the benefit of oxygenation via prophylactic TTJV. Eighteen pigs (Sus scrofa) were divided into two equal groups. In Group A, pigs were anesthetized and no lu...

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Vessel dilator cricothyrotomy for transtracheal jet ventilation.

Needle cricothyrotomy is a safe, relatively easy procedure and has been described to enable pulmonary ventilation for patients in both elective and emergency situations. Conventional IV cannulae are short, thin-walled, and easily kinked and, therefore, do not provide a secure system to jet oxygen into the trachea. The vessel dilators of most 7-9 French introducer kits are firm, pliable, resist ...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2011

ISSN: 0007-0912

DOI: 10.1093/bja/aeq278