High-frequency jet ventilation in interventional bronchoscopy: factors with predictive value on high-frequency jet ventilation complications

Fernandez-Bustamante, Ana; Ibanez, V.; Alfaro, José Javier Usoz; Miguel, Eduardo de; Germán, María J.; Mayo, A.; Jimeno, Antonio; Pérez-Cerdá, F; Escribano, P. Martín

doi:10.1016/j.jclinane.2005.12.011

Cited by 47 publications

(31 citation statements)

References 20 publications

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“…1,32 Of note, not all prior studies of therapeutic bronchoscopy found a relationship between ASA scores and complications, but this may have been due to sample size limitations and the frequency of complications being relatively low. 12,33,34 In terms of health-care resource use, higher ASA score was associated with a higher probability of escalation in the level of care postbronchoscopy.…”

Section: Discussionmentioning

confidence: 99%

Complications Following Therapeutic Bronchoscopy for Malignant Central Airway Obstruction

Ost

Ernst

Grosu

et al. 2015

Chest

142

103

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Section: Discussionmentioning

confidence: 99%

Complications Following Therapeutic Bronchoscopy for Malignant Central Airway Obstruction

Ost

Ernst

Grosu

et al. 2015

Chest

142

103

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“…Cheng et al found that acute moderate CO 2 retention (60–100 mmHg) was not associated with serious consequences among patients receiving RB; conversely severe hypercapnia (>100 mmHg) was associated with lower levels of PaO 2 [19]. Poor physical status (American Society of Anesthesiologists (ASA) grade IV) and baseline oxygen saturation of 95% or less are predictive factors of complications such as hypercapnia, hypoxemia, and hemodynamic instability during RB with HFJV [20]. To strive to normocapnia, settings adjustments of HFJV are provided in Table 2.…”

Section: Complicationsmentioning

confidence: 99%

Jet Ventilation during Rigid Bronchoscopy in Adults: A Focused Review

Putz

Mayné

Dincq

2016

BioMed Research International

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The indications for rigid bronchoscopy for interventional pulmonology have increased and include stent placements and transbronchial cryobiopsy procedures. The shared airway between anesthesiologist and pulmonologist and the open airway system, requiring specific ventilation techniques such as jet ventilation, need a good understanding of the procedure to reduce potentially harmful complications. Appropriate adjustment of the ventilator settings including pause pressure and peak inspiratory pressure reduces the risk of barotrauma. High frequency jet ventilation allows adequate oxygenation and carbon dioxide removal even in cases of tracheal stenosis up to frequencies of around 150 min−1; however, in an in vivo animal model, high frequency jet ventilation along with normal frequency jet ventilation (superimposed high frequency jet ventilation) has been shown to improve oxygenation by increasing lung volume and carbon dioxide removal by increasing tidal volume across a large spectrum of frequencies without increasing barotrauma. General anesthesia with a continuous, intravenous, short-acting agent is safe and effective during rigid bronchoscopy procedures.

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“…These must be recorded on application and removal at the end of the procedure to avoid any postoperative airway obstruction (Fig. 6) [63]. Rarely jet ventilation is ineffective or equipment malfunction might prevent its use while the procedure is in progress.…”

Section: Jet Ventilationmentioning

confidence: 99%

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

Goudra

Singh

Borle

et al. 2015

Lung

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The bronchoscopic procedures have seen a remarkable increase in both numbers and complexity. Although many anesthesia providers have kept pace with the challenge, the practice is varied and frequently suboptimal. Shared airway during bronchoscopy poses unique challenges. The available reviews have tried to address this lacuna; however, these have frequently dealt with the technical aspects of bronchoscopy than anesthetic challenges. The present review provides evidence-based management insights into anesthesia for bronchoscopy-both flexible and rigid. A systematic approach toward pre-procedural evaluation and risk stratification is presented. The possible anatomical and physiological factors that can influence the outcomes are discussed. Pharmacological principles guiding sedation levels and appropriate selection of sedatives form the crux of safe anesthetic management. The newer and safer drugs that can have potential role in anesthesia for bronchoscopy in the near future are discussed. Ventilatory strategies during bronchoscopy for prevention of hypoxia and hypercarbia are emphasized.

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High-frequency jet ventilation in interventional bronchoscopy: factors with predictive value on high-frequency jet ventilation complications

Cited by 47 publications

References 20 publications

Complications Following Therapeutic Bronchoscopy for Malignant Central Airway Obstruction

Complications Following Therapeutic Bronchoscopy for Malignant Central Airway Obstruction

Jet Ventilation during Rigid Bronchoscopy in Adults: A Focused Review

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

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