BACKGROUND Anaesthesia for laryngeal surgery may be complex and associated with complications. METHODS We conducted a national survey exploring airway management and ventilation during elective laryngeal surgery, focusing primarily on injector and jet ventilation (i.e. high-pressure source ventilation: HPSV). RESULTS Responses were received from 229 centres (75%). Several hospitals reported...

Following the use of an endotracheal or tracheostomy tube, circumferential lesions, stenosis, or granulomatous lesions at the cuff level or tip of the tube may be observed on the tracheal wall. This injury mainly occurs due to excessive pressure of the cuff on the tracheal wall and may be prevented by a high-volume, low-pressure cuff and a carefully monitored tracheostomy tube. Although there i...

OBJECTIVE To assess the safety and efficacy of percutaneous transtracheal jet ventilation (PTJV) in the management of the difficult airway. DESIGN Retrospective case series. SETTING Academic, tertiary care medical center. PATIENTS Forty-three consecutive PTJV procedures performed on 33 patients with anticipated airway difficulty undergoing direct laryngoscopy for diagnosis and/or treatmen...

BACKGROUND: Adequate humidification in long-term jet ventilation is a critical aspect in terms of clinical safety. AIM: To assess a prototype of an electronic jet-ventilator and its humidification system. METHODS: Forty patients with respiratory insufficiency were randomly allocated to one of four groups. The criterion for inclusion in this study was respiratory insufficiency exhibiting a Murra...

High-frequency subglottic jet ventilation was used in 142 consecutive adults with grade I airways treated with suspension microlaryngoscopy. All cases were managed by the senior anesthesiologist (AP) and the large majority by the senior surgeon (JR), between 2000 and 2002. The laser was used in 30% of cases. There were few complications, none serious, associated with this technique in this seri...

Impinging jet ventilation (IJV), which supplies a high momentum air impinging and spreading over the floor, could be used in both cooling heating modes. However, as low-level supply system, excessive temperature difference between head ankle levels may exist due to cool being directly supplied occupied zone. As one type of different personalized (PV) terminal device, ductless (DPV) is self-stan...