High-frequency jet ventilation in oral and maxillofacial surgery

Miller, James; Iovino, W.; Fine, Joseph; Klain, Miroslav

doi:10.1016/0278-2391(82)90175-6

Cited by 9 publications

(3 citation statements)

References 4 publications

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“…There are few articles describing the use of this technique in the management of patients with head and neck cancer. The concept of prophylactic transtracheal catheterisation was reported by Carden et al in 1976, 3 and Miller et al subsequently reported four cases in 1982 4 . Transtracheal jet ventilation has been used extensively during elective endolaryngeal surgery, without major complication 5 – 8 .…”

Section: Discussionmentioning

confidence: 99%

Role of cricothyroid cannulation in head and neck surgery

Ryan

McGuire

2008

J. Laryngol. Otol.

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Section: Discussionmentioning

confidence: 99%

Role of cricothyroid cannulation in head and neck surgery

Ryan

McGuire

2008

J. Laryngol. Otol.

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“…Our study showed that over a period of 22 months that included 22 915 general anaesthetics, we did not need to perform a single primary tracheostomy. A review of the literature suggests that the prophylactic insertion of a transtracheal catheter facilitates intubation of the difficult airway as an alternative to primary tracheostomy [12–17]. Insertion of a prophylactic transtracheal catheter proved to be very useful in 11 patients with very difficult airways, and primary tracheostomy was avoided in all these patients.…”

Section: Discussionmentioning

confidence: 99%

“…The next significant step was the idea of using transtracheal catheterisation prophylactically for the anticipated difficult airway to facilitate planned conventional or fibreoptic tracheal intubation. Our literature search showed that this idea was first mentioned in 1976 in an article by Carden, and subsequently Miller reported four cases in 1982 [12, 35]. Two patients with multiple facial and intra‐oral lacerations and two patients with abscesses were treated using a prophylactic transtracheal catheter.…”

Section: Discussionmentioning

confidence: 99%

Prophylactic percutaneous transtracheal catheterisation in the management of patients with anticipated difficult airways: a case series*

2005

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Summary Primary tracheostomy under local anaesthesia is indicated in the management of an anticipated difficult airway in patients in whom less invasive procedures are expected to fail or have already failed. However, primary tracheostomy is a relatively complex procedure and places not inconsiderable stress on the patient. In a prospective study in our hospital over a period of 22 months, we were able to avoid primary tracheostomy in 11 patients with very difficult airways. All 11 patients were managed with prophylactically inserted transtracheal catheters and jet ventilation of the lungs. This ensured an adequate oxygen supply during tracheal intubation, and made overall patient management much easier. This method has established itself as a standard procedure in our hospital.

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High frequency jet ventilation and upper tracheal stenosis: a model study

et al. 1991

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A chest-lung model, consisting of a human laryngo-tracheo-bronchial tree cast (4 or 5 bronchial generations) tightly enclosed in a 100 l rigid box was used to assess the potential efficiency of high frequency jet ventilation in patients with upper tracheal stenosis. The elasticity of the air in the box stimulated normal adult chest-lung compliance. Diaphragms (0.5 or 1.5 cm thick) were inserted into the upper trachea to simulate stenoses of 0.7, 1, 1.5 and 1.75 cm inner diameter. A rigid injector-catheter (5 mm outside diameter) was directed in the axis of the trachea with its tip 2.5 cm beneath the stenosis. The end inspiratory alveolar pressure (PA), the end expiratory pressure (PEEP) and the tidal volume (VT) were measured at a rate of 100/min and 30% inspiratory to total periods ratio. Entrained flow, Vem, measured at the start of air insufflation, was compared to that calculated (Vec) from a simple model. For a given setting of the ventilator, PEEP, PA--PEEP and VT were approximately linearly related to the difference in diameters of stenosis and injector. While PEEP decreased, both PA--PEEP and VT increased with increasing diameter of stenosis. When the diameter of the stenosis was higher than 1.5 cm no changes in PA--PEEP and VT were observed, owing to the narrowest section of the larynx. Vec was always higher than Vem. The thickness of the stenosis did not affect the results, and the diameter of the stenosis appeared to be the main factor affecting the ventilatory parameters under our experimental conditions.(ABSTRACT TRUNCATED AT 250 WORDS)

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High-frequency jet ventilation in oral and maxillofacial surgery

Cited by 9 publications

References 4 publications

Role of cricothyroid cannulation in head and neck surgery

Role of cricothyroid cannulation in head and neck surgery

Prophylactic percutaneous transtracheal catheterisation in the management of patients with anticipated difficult airways: a case series*

High frequency jet ventilation and upper tracheal stenosis: a model study

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