Transtracheal jet ventilation

Transtracheal jet ventilation refers to a type of high-frequency ventilation, low tidal volume ventilation provided via a laryngeal catheter by specialized ventilators that are usually only available in the operating room or intensive care unit. This procedure is occasionally employed in the operating room when a difficult airway is anticipated, such as Treacher Collins syndrome, Robin sequence, head and neck surgery with supraglottic or glottic obstruction.[1][2][3][4] It is NOT recommended in emergencies if a person cannot be intubated or ventilated by other means.[5]

References

  1. Ravussin P, Bayer-Berger M, Monnier P, Savary M, Freeman J (1987). "Percutaneous transtracheal ventilation for laser endoscopic procedures in infants and small children with laryngeal obstruction: report of two cases". Can J Anaesth. 34 (1): 83–6. doi:10.1007/BF03007693. PMID 3829291.
  2. Benumof JL, Scheller MS (1989). "The importance of transtracheal jet ventilation in the management of the difficult airway". Anesthesiology. 71 (5): 769–78. doi:10.1097/00000542-198911000-00023. PMID 2683873. S2CID 46124177.
  3. Weymuller EA, Pavlin EG, Paugh D, Cummings CW (1987). "Management of difficult airway problems with percutaneous transtracheal ventilation". Ann Otol Rhinol Laryngol. 96 (1 Pt 1): 34–7. doi:10.1177/000348948709600108. PMID 3813383. S2CID 7469272.
  4. Boyce JR, Peters GE, Carroll WR, Magnuson JS, McCrory A, Boudreaux AM (2005). "Preemptive vessel dilator cricothyrotomy aids in the management of upper airway obstruction". Can J Anaesth. 52 (7): 765–9. doi:10.1007/BF03016567. PMID 16103392.
  5. Duggan, LV; Ballantyne Scott, B; Law, JA; Morris, IR; Murphy, MF; Griesdale, DE (September 2016). "Transtracheal jet ventilation in the 'can't intubate can't oxygenate' emergency: a systematic review". British Journal of Anaesthesia. 117 (Suppl 1): i28–i38. doi:10.1093/bja/aew192. PMID 27566790.
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