Technique of ventilation during endolaryngeal surgery under general anaesthesia

Spoerel, W. E.; Greenway, R. E.

doi:10.1007/bf03027174

Cited by 54 publications

(10 citation statements)

References 5 publications

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“…Transtracheal jet ventilation was described in 1971 [3]. It has been advocated in situations where immediate tracheal intubation may not be possible [4] and in anaesthesia for direct laryngoscopy [5]. Tobias, Nassar and Richards reported a method of nasotracheal jet ventilation for microlaryngeal procedures using a Sanders injector [6].…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Barotrauma Associated With Transtracheal Jet Ventilation

Craft

Chambers

Ward

et al. 1990

British Journal of Anaesthesia

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Two patients suffered barotrauma whilst undergoing transtracheal jet ventilation (TTJV). In the first, TTJV was provided by a Sanders injector and in the second it was given by a high frequency jet ventilator. Barotrauma was a consequence of the expiratory pathway becoming blocked. The mechanism of barotrauma and a method of airway pressure monitoring during TTJV are discussed. It is recommended that meticulous care is taken to ensure an adequate path for expiration when jet ventilation is used.

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Section: Discussionmentioning

confidence: 99%

Two Cases of Barotrauma Associated With Transtracheal Jet Ventilation

Craft

Chambers

Ward

et al. 1990

British Journal of Anaesthesia

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“…It avoids traumatic and uncertain techniques, e.g. blind nasal intubation (Gold and Buechel, 1960;Bear-man, 1962;Tahir, 1970;Akinyemi, 1979), guided retrograde intubation (Waters, 1963), transtracheal (Spoerel and Greenway, 1973), cricothyroidotomy (Brantigan and Grow, 1976). If intubation is not achieved by this technique an orderly progression to tracheostomy under local anaesthesia can take place at no increased risk to the patient.…”

Section: Discussionmentioning

confidence: 99%

Fibre optic guided nasal intubation—shouldn'st we be the experts?

Gleeson¹,

Stodlak²,

Wengarf³

1985

J. Laryngol. Otol.

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Difficult intubations are more common in otolaryngological practice than any other branch of medicine or surgery. The majority of these are predictable. It is the unexpected intubational failure, usually in a patient undergoing treatment for an unrelated problem, that results in tragedy. In this paper the indications for fibre optic guided intubation are discussed, and the technique described and illustrated in a case of pharyngeal obstruction secondary to an epiglottic cyst. It is suggested that our expertise to operate within the upper airway should be exploited to the advantage of our patients, and of our anaesthetic and surgical colleagues.

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“…The injector jet technique is capable of maintaining satisfactory conditions for long periods and blood gases have been shown to be satisfactory (Spoerel and Greenway 1973). With some techniques (Norton 1976, Vourch et al 1977 the venturi injector jet is used in the proximal lumen of the laryngoscope and the blast of gas produces unwanted vocal cord movement, drying of the mucosa of the larynx and there is a chance of foreign particulate matter, for example papilloma or blood clot passing into the tracheobronchial tree.…”

Section: Discussionmentioning

confidence: 99%