TY - JOUR
T1 - Management of difficult airway problems with percutaneous transtracheal ventilation
AU - Weymuller, Ernest A.
AU - Paugh, Donald
AU - Pavlin, Edward G.
AU - Cummings, Charles W.
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1987/1
Y1 - 1987/1
N2 - Percutaneous transtracheal jet ventilation was used in the management of 13 cases of upper airway obstruction. Cases are subdivided according to the nature of the presenting airway problem. The first group had stable upper airway abnormalities; the second group presented as emergencies with rapidly evolving upper airway obstruction. This technique has two major advantages: 1 it provides rapid access to the airway during acute emergencies; and 2 it provides control of the airway where tissue distortion from head and neck trauma or tumor surgery makes standard anesthetic techniques difficult. Complications including catheter displacement, total expiratory obstruction, pneumothorax, and subcutaneous emphysema have been encountered. The authors conclude that percutaneous transtracheal jet ventilation is effective. However, potential problems exist and an in-depth understanding of the technique is necessary for its appropriate application and successful use.
AB - Percutaneous transtracheal jet ventilation was used in the management of 13 cases of upper airway obstruction. Cases are subdivided according to the nature of the presenting airway problem. The first group had stable upper airway abnormalities; the second group presented as emergencies with rapidly evolving upper airway obstruction. This technique has two major advantages: 1 it provides rapid access to the airway during acute emergencies; and 2 it provides control of the airway where tissue distortion from head and neck trauma or tumor surgery makes standard anesthetic techniques difficult. Complications including catheter displacement, total expiratory obstruction, pneumothorax, and subcutaneous emphysema have been encountered. The authors conclude that percutaneous transtracheal jet ventilation is effective. However, potential problems exist and an in-depth understanding of the technique is necessary for its appropriate application and successful use.
KW - airway obstruction
KW - percutaneous transtracheal jet ventilation
KW - transtracheal ventilation
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U2 - 10.1177/000348948709600108
DO - 10.1177/000348948709600108
M3 - Article
C2 - 3813383
AN - SCOPUS:0023118048
VL - 96
SP - 34
EP - 37
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
SN - 0003-4894
IS - 1
ER -