Developments in the Safe Use of High Frequency Jet Ventilation

Smith, Bradley E.

doi:10.1093/bja/65.6.735

Cited by 17 publications

(17 citation statements)

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“…This mode of ventilation generates low positive pressure in the airway. Airway pressures at the tip of the HFJV catheter (PIP, MAP and PEEP) can be measured using the ancillary lumen of the jet ventilation catheter, minimizing the risk of barotrauma (8). It is also possible to use the endexpiratory pressure (EEP) alarm facility with a single lumen catheter if a double‐lumen catheter is unavailable or too large for a paediatric airway (9).…”

Section: Discussionmentioning

confidence: 99%

Jet ventilation for anterior paediatric scoliosis surgery

Hübner

Anderson

Stuart

et al. 2002

Pediatric Anesthesia

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Single-lung anaesthesia for thoracotomy is usually achieved with endobronchial intubation, a double-lumen tube or an endobronchial blocker. High-frequency jet ventilation (HFJV) is seldom described for thoracotomy in children, although it is used for both laryngology procedures in the operating room and as a ventilation mode in intensive care. HFJV was used in three children, aged 10-12 years, who presented for scoliosis correction involving thoracotomy. The jet ventilation catheter was passed through a tracheal tube to reduce the risk of outflow obstruction and allow a smooth conversion to intermittent positive-pressure ventilation when required. Mean airway pressures measured at the tip of the HFJV catheter were at or below 4 cmH2O. Surgical opening of the nondependent lung pleura resulted in sufficient collapse of the pulmonary parenchyma with the patient in the lateral decubitus position for the surgical procedure. Arterial blood gas analyses performed during thoracotomy were within normal limits, with no CO2 retention. HFJV is an alternative ventilation strategy for thoracotomy in children because of its unique ability to deliver small tidal volumes at low mean airway pressures via a narrow catheter.

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Section: Discussionmentioning

confidence: 99%

Jet ventilation for anterior paediatric scoliosis surgery

Hübner

Anderson

Stuart

et al. 2002

Pediatric Anesthesia

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“…An additional margin of safety could have been introduced with the application of an electronically driven jet ventilator employing a pressuresensing device. Rises in airway pressure above the desired level could result in inhibition of gas delivery [7].…”

Section: Discussionmentioning

confidence: 99%

Jet ventilation via a Univent tube for sleeve pneumonectomy

Williams

Gothard

2001

European Journal of Anaesthesiology

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A 51-year-old man presented with a right upper lobe adenocarcinoma with carinal extension. He underwent a right sleeve pneumonectomy, which involved a carinal resection with anastomosis between the trachea and left main bronchus. This report describes the successful use of jet ventilation, administered via the lumen of the bronchial blocker of a Univent tube. During 15 min of carinal resection, oxygenation of his left lung was maintained with the bronchial blocker bridging the airway discontinuity.

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“…The advantages and complications of TI'JV have been described during both elective surgery and emergency airway management. 9,23,14,[24][25][26] In endoscopic surgery, TI'JV avoids trauma to the diseased tissues and preserves the initial laryngeal state which, along with the quality of endoscopic exposure, may offer a decisive therapeutic advantage. Immobility of the operative field ensures optimal precision of the laser beam and inhalation of particles, saliva and/or tumour debris is prevented by the contin-uous expiratory flow.…”

Section: Discussionmentioning

confidence: 99%