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Transtracheal jet ventilation refers to a type of high-frequency ventilation, low tidal volume ventilation provided via a laryngeal catheter by specialized ventilators that are usually only available in the operating room or intensive care unit. This procedure is occasionally employed in the operating room when a difficult airway is anticipated, such as Treacher Collins syndrome, Robin sequence, head and neck surgery with supraglottic or glottic obstruction. [1] [2] [3] [4] It is NOT recommended in emergencies if a person cannot be intubated or ventilated by other means. [5]
References
- ^ Ravussin P, Bayer-Berger M, Monnier P, Savary M, Freeman J (1987). "Percutaneous transtracheal ventilation for laser endoscopic procedures in infants and small children with laryngeal obstruction: report of two cases". Can J Anaesth. 34 (1): 83–6. doi: 10.1007/BF03007693. PMID 3829291.
- ^ Benumof JL, Scheller MS (1989). "The importance of transtracheal jet ventilation in the management of the difficult airway". Anesthesiology. 71 (5): 769–78. doi: 10.1097/00000542-198911000-00023. PMID 2683873. S2CID 46124177.
- ^ Weymuller EA, Pavlin EG, Paugh D, Cummings CW (1987). "Management of difficult airway problems with percutaneous transtracheal ventilation". Ann Otol Rhinol Laryngol. 96 (1 Pt 1): 34–7. doi: 10.1177/000348948709600108. PMID 3813383. S2CID 7469272.
- ^ Boyce JR, Peters GE, Carroll WR, Magnuson JS, McCrory A, Boudreaux AM (2005). "Preemptive vessel dilator cricothyrotomy aids in the management of upper airway obstruction". Can J Anaesth. 52 (7): 765–9. doi: 10.1007/BF03016567. PMID 16103392.
- ^ Duggan, LV; Ballantyne Scott, B; Law, JA; Morris, IR; Murphy, MF; Griesdale, DE (September 2016). "Transtracheal jet ventilation in the 'can't intubate can't oxygenate' emergency: a systematic review". British Journal of Anaesthesia. 117 (Suppl 1): i28–i38. doi: 10.1093/bja/aew192. PMID 27566790.