Respiratory Gas Monitoring During High-Frequency Jet Ventilation for Tracheal Resection Using a Double-Lumen Jet Catheter

Klein, U.; Karzai, Waheedullah; Gottschall, Reiner; Gugel, Michael; Bartel, M

doi:10.1213/00000539-199901000-00042

Cited by 19 publications

(15 citation statements)

References 8 publications

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“…2,5,31 Volutrauma because of an unexpectedly narrow tracheal lumen and consequent inability to completely exhale was most likely responsible for the pneumopericardium in the second case. We and others [45][46][47][48][49] have successfully used an airway exchange catheter and jet ventilation for management of even relatively tight upper and lower airway stenoses. However, when using such a technique, it is imperative to avoid volutrauma by Figure 1 utilising a slow ventilatory pattern and to monitor chest wall excursion to ensure adequate expiration before the next inspiration is administered.…”

Section: Discussionmentioning

confidence: 99%

Pneumopericardium:two case reports and a review

Visser

Heine

Levin

et al. 2008

Southern African Journal of Anaesthesia and Analgesia

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Pneumopericardium, and especially tension pneumopericardium, are relatively rare consequences of penetrating, blunt or iatrogenic injury. Despite its rarity and the compressibility of air, pneumopericardium can result in life threatening cardiac tamponade. We present two recent cases of this rare condition with divergent aetiologies from which lessons can be learned. The pathophysiology, diagnosis and treatment of pneumopericardium are reviewed.

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Section: Discussionmentioning

confidence: 99%

Pneumopericardium:two case reports and a review

Visser

Heine

Levin

et al. 2008

Southern African Journal of Anaesthesia and Analgesia

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“…In many reports, the constant observation and monitoring of CO 2 by means of arterial blood gas assessment demonstrated higher values of this parameter during high frequency ventilation [19,[27][28][29].…”

Section: Kardiochirurgia I Torakochirurgia Polska 2013; 10 (4)mentioning

confidence: 97%

“…The review of the literature which we conducted demonstrated that high frequency ventilation, popular in fields other than thoracic surgery, may offer measurable advantages in the form of proper gas exchange with concurrent low lung mobility, which is the key condition of its usefulness. Besides the apparent advantages of the method, undesirable effects related to its use have also been observed, such as carbon dioxide retention in comparison to standard two lung ventilation (TLV) [27][28][29].…”

Section: Kardiochirurgia I Torakochirurgia Polska 2013; 10 (4)mentioning

confidence: 99%

Anaesthesiology and intensive care Hemodynamic consequences of different ventilation methods used in lung surgery

Misiołek¹,

Budziński²,

Karpe³

et al. 2013

kitp

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StreszczenieTechniki znieczulenia i wentylacji do operacji torakochirurgicznych są zdecydowanie odmienne od stosowanych w chirurgii ogólnej. Standardową metodą wentylacji podczas dużych zabiegów torakochirurgicznych dotyczących miąższu płucnego oraz innych narządów klatki piersiowej jest wentylacja jednego płuca (one lung ventilation -OLV). Najczęściej zabiegi przeprowadza się w ułożeniu pacjenta na boku przeciwnym do operowanego z równoczesnym otwarciem klatki piersiowej (odma otwarta). To wszystko implikuje zaburzenia mechaniki oddychania, hemodynamiki oraz utlenowania krwi. Alternatywną metodą jest wentylacja wysokimi częstotliwościami (high-frequency jet ventilation -HFJV). Obie metody wentylacji zapewniają całkowite lub częściowe unieruchomienie pola operacyjnego, ale odmienne skutki hemodynamiczne. Porównując obie techniki wentylacji ze względu na zachowanie się parametrów układu sercowo-naczyniowego, można zdecydowanie stwierdzić, że HFJV zapewniając lepsze utlenowanie i prawidłową wentylację, utrzymuje stabilność hemodynamiczną w porównaniu z wentylacją OLV. Słowa kluczowe: wentylacja jednym płucem, wentylacja wysokimi częstotliwościami, układ sercowo-naczyniowy. ANAESTHESIOLOGY AND INTENSIVE CARE AbstractAnesthesia techniques used in thoracic surgery are completely different from those used in general surgery, because thoracic surgery requires both effective ventilation and immobilization of the operating area. One lung ventilation (OLV) remains the standard ventilation method used during thoracic surgery procedures. The most frequent position of the patient during thoracotomy is the lateral decubitus position opposite to the operated side. The abovementioned conditions lead to several respiratory, hemodynamic, and oxygenation disturbances. However, high-frequency jet ventilation (HFJV) may be used as an alternative way of ventilation during lung resection. Both ventilation methods provide full or partial immobilization of the operative field, but they result in different hemodynamic effects. Comparing the cardiovascular parameters during OLV and HFJV we can definitely say that HFJV provides better oxygenation and ventilation in comparison to OLV, while maintaining hemodynamic stability. Key words: one lung ventilation, high frequency jet ventilation, cardiovascular system. DOI: 10.5114/kitp.2013.39743 One lung ventilation (OLV) remains the standard method of providing ventilation during anesthesia before thoracic surgery procedures. The procedures are usually conducted with the patient in a lateral decubitus position opposite to the operated side, with concurrent opening of the chest (open pneumothorax), which allows for complete or partial immobilization of the operating field. Employing this method of ventilation, however, implies a change in the mechanics of breathing, hemodynamics, and blood oxygenation [1]. Hemodynamic consequences of different ventilation methods used in lung surgeryDuring one lung ventilation, the priority for the anesthesiologist is to protect the patient from hypoxia, caus...

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“…An introducer aided its positioning and one additional side-port allowed monitoring of either end-tidal CO 2 or tracheal pressures proximal to the jet [3]. Another 12F double-lumen polyurethane jet catheter (W. Ruesch, Waiblingen, Germany) of 70 cm length with a 1.8-mm central lumen for intratracheal jet application and a 1.2-mm lateral lumen for proximal gas sampling (CO 2 or O 2 ) or pressure monitoring can be used during tracheal resection [36]. However, others have relied on airway pressure measurement distal to the jet ori®ce [7,9,37,38].…”

Section: Jet Equipmentmentioning

confidence: 99%

“…To determine gas concentrations by side-stream sampling additional channels were integrated into jet catheters and tubes [3,7,9,33,36,48,49]. Because sampling of expiratory gas for carbon dioxide measurement is dif®cult in this open ventilation system and because of the slow response of most CO 2 analysers [50], transcutaneous monitoring of CO 2 was studied in order to adjust ventilator settings and optimize ventilation without the need to measure CO 2 invasively [51].…”

Section: Jet Equipmentmentioning

confidence: 99%

High-frequency jet ventilation in European and North American institutions: developments and clinical practice

Ihra

Gockner

Kashanipour

et al. 2000

European Journal of Anaesthesiology

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Respiratory support with high-frequency jet ventilation has been advocated during airway surgery or to improve pulmonary mechanics and gas exchange in patients with bronchopleural ®stulae or pulmonary insuf®ciency. Despite a large body of published evidence describing its bene®ts as an alternative ventilatory approach in anaesthesia and intensive care medicine, its application has not gained widespread acceptance and is restricted to specialized centres. To review the literature on high-frequency jet ventilation in European and North American institutions, we per-formed a search in a computerized database (MED-LINE) covering the period from 1990 until the present time, describing the use of high-frequency jet ventilation in over 7000 patients. Various modes to apply high-frequency jet ventilation during airway surgery have been established, but its value in intensive care is controversial. We report our experience with combined high-frequency jet ventilation and provide guidelines for its safe application.

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Respiratory Gas Monitoring During High-Frequency Jet Ventilation for Tracheal Resection Using a Double-Lumen Jet Catheter

Cited by 19 publications

References 8 publications

Pneumopericardium:two case reports and a review

Pneumopericardium:two case reports and a review

Anaesthesiology and intensive care Hemodynamic consequences of different ventilation methods used in lung surgery

High-frequency jet ventilation in European and North American institutions: developments and clinical practice

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