La sonde de ventilation en jet Hunsaker Mon-Jet est efficace dans les microchirurgies laryngées

Davies, Joanna M.; Hıllel, Allen D.; Maronian, Nicole; Posner, Karen L.

doi:10.1007/s12630-009-9057-2

Cited by 37 publications

(44 citation statements)

References 15 publications

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“…Studies have determined that infraglottic technique is more effective than supraglottic technique as it provides ventilation below the level of vocal cords and causes minimal movement in the cords (11). Blowing of blood and tissue particles to the upwards and outside with expiratory airflow appears to be another advantage of the technique (12).…”

Section: Discussionmentioning

confidence: 99%

Surgical Excision of Postintubation Granuloma Under Jet Ventilation

Altun

Yılmaz

Başaran

et al. 2014

Turk J Anesth Reanim

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Case Report 220Following the use of an endotracheal or tracheostomy tube, circumferential lesions, stenosis, or granulomatous lesions at the cuff level or tip of the tube may be observed on the tracheal wall. This injury mainly occurs due to excessive pressure of the cuff on the tracheal wall and may be prevented by a high-volume, low-pressure cuff and a carefully monitored tracheostomy tube. Although there is an overall improvement in the design of high-volume cuffs, hyperinflation of these cuffs may still contribute to tracheal injuries. If the size of the granuloma is limited, the lesion is treated by excision (microlaryngeal surgery) under general anaesthesia. Using jet ventilation during the operation minimizes the trauma caused by intubation and reduces the risk of oedema and the risk of barotrauma, as it provides ventilation over a possible stenosis. In addition to providing better visualization of the surgical field and superior surgeon comfort, jet ventilation also increases the success of the operation. In this case report, we aimed to present a successful anaesthesia technique performed by jet ventilation in a patient with a postintubation granuloma, which was excised by microlaryngeal surgery without the need for reintubation.

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Section: Discussionmentioning

confidence: 99%

Surgical Excision of Postintubation Granuloma Under Jet Ventilation

Altun

Yılmaz

Başaran

et al. 2014

Turk J Anesth Reanim

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“…It contains a stainless steel wire to facilitate extubation in case of tube damage. The device is 35.5 cm long and includes a basket-like stabilizing structure at its distal end to avoid whip-like movements and submucosal injection during JV [5,9].…”

Section: Methodsmentioning

confidence: 99%

“…However, the risk of barotrauma is increased if there is any obstacle to the evacuation of air out of the lungs [5].…”

Section: The Technique Of Jv Itself and The Position Of The Injectormentioning

confidence: 99%

“…Unsatisfied with the above-described methods, our team made the choice of using transglottic high-frequency JV (HFJV) with a modified adult injector, the Hunsaker Mon-Jet Ventilation Tube ® (Medtronic Xomed, Jacksonville, FL). This injector proved to be easy to use, safe, flexible (yet sufficiently rigid), resistant to high pressures, and nonflammable in adults [5]. We report hereafter the description of our technical modification and our clinical experience with it in a series of infants to show the safety of this modified device in this population.…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Technical description of a modified jet ventilation injector for airway laser surgery in neonates and infants: retrospective analysis of 20 cases

Martins

Boven

Schmitz

et al. 2016

Journal of Clinical Anesthesia

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“…Complications are reported to be Ͻ 6% and are primarily related to hypoxia and hypercarbia associated with jet ventilation. 64,65 Due to the open cuffless design, it is not capable of delivering anesthetic gases without contaminating the environment and requires the use of total intravenous anesthesia.…”

Section: Other Modificationsmentioning

confidence: 99%

Endotracheal Tubes: Old and NewDiscussion

et al. 2014

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The development and evolution of the endotracheal tube (ETT) have been closely related to advances in surgery and anesthesia. Modifications were made to accomplish many tasks, including minimizing gross aspiration, isolating a lung, providing a clear facial surgical field during general anesthesia, monitoring laryngeal nerve damage during surgery, preventing airway fires during laser surgery, and administering medications. In critical care management, ventilator-associated pneumonia (VAP) is a major concern, as it is associated with increased morbidity, mortality, and cost. It is increasingly appreciated that the ETT itself is a primary causative risk for developing VAP. Unfortunately, contaminated oral and gastric secretions leak down past the inflated ETT cuff into the lung. Bacteria can also grow within the ETT in biofilm and re-enter the lung. Modifications to the ETT that attempt to prevent bacteria from entering around the ETT include maintaining an adequate cuff pressure against the tracheal wall, changing the material and shape of the cuff, and aspirating the secretions that sit above the cuff. Attempts to reduce bacterial entry through the tube include antimicrobial coating of the ETT and mechanically scraping the biofilm from within the ETT. Studies evaluating the effectiveness of these modifications and techniques demonstrate mixed results, and clear recommendations for which modification should be implemented are weak.

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La sonde de ventilation en jet Hunsaker Mon-Jet est efficace dans les microchirurgies laryngées

Cited by 37 publications

References 15 publications

Surgical Excision of Postintubation Granuloma Under Jet Ventilation

Surgical Excision of Postintubation Granuloma Under Jet Ventilation

Technical description of a modified jet ventilation injector for airway laser surgery in neonates and infants: retrospective analysis of 20 cases

Endotracheal Tubes: Old and NewDiscussion

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