Mesure de la Pression Trachéale au Cours de la Jet Ventilation à Haute Fréquence — Etude expérimentale

Cros, A. M.; Boudey, C.; Guénard, H.

doi:10.1016/s0750-7658(16)30065-x

Cited by 1 publication

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“…This risk may increase in the presence of airway obstruction, which is frequent in patients with laryngeal diseases [3]. It is recommended that the best position for the measurement of tracheal pressure is 10 cm below the jet [9]. Second, the Hunsaker tube wing system has a considerable large calibre at the flange level of the tube, which may cause damage during intubation and extubation in some laryngeal obstructive diseases.…”

Section: Proposed Improvementsmentioning

confidence: 99%

Airway ignition during co2 laser laryngeal surgery and high frequency jet ventilation

et al. 2000

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We present a case of a patient submitted for extirpation of a neoplasm of the larynx, by means of carbon dioxide laser surgery. High frequency jet ventilation was applied by means of orotracheal intubation with two Teflon catheters, 2 mm in external diameter and 30 cm in length, attached with three equally placed strips of adhesive paper tape. One catheter was used to inject the jet volume and the other used to measure the airway pressure. The adhesive strips were moistened and FiO2 was lower than 50%. After 30 min using the laser, an airway fire was noticed. Ventilation was interrupted and the catheters were removed. The patient was reintubated with an endotracheal tube of 6 mm ID and the surgical procedure was continued until the tumour was removed. Two factors contributed to the airway fire: the ignition of the lowest adhesive strip that had dried and the use of the laser in the mode of continuous pulsation.

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Section: Proposed Improvementsmentioning

confidence: 99%