Predictors for failure of supraglottic superimposed high‐frequency jet ventilation during upper airway surgery in adult patients; a retrospective cohort study of 224 cases

Predictors for failure of supraglottic superimposed high‐frequency jet ventilation during endoscopic upper airway surgery in pediatric patients

“…However, a selection bias probably played a role in our analysis, as multimorbid patients might not have been selected for surgery with SSHFJV. In contrast to the results of the present study, in adults, (severe) stenosis was not a contributing factor to failing of SSHFJV, 2 emphasizing the remarkable differences between the two patient populations. Furthermore, the airflow during SSHFJV is also highly influenced by the position of the ventilating laryngoscope,laminar flow is desired for optimal ventilation.…”

“…For endoscopic laryngeal surgery, different methods of ventilation are used, among others jet ventilation via a specifically adapted suspension laryngoscope using a dual jet stream (supraglottic superimposed high‐frequency jet ventilation, SSHFJV) 1 . High BMI and a history of pulmonary pathology proved to be factors contributing to failing of SSHFJV in adult patients 2 . However, factors influencing the failure of SSHFJV in pediatric patients have never been described yet.…”

New Treatment Strategy for Subglottic Stenosis Using the Trachealator, a Novel Non‐occlusive Balloon

“…Our described new treatment strategy requires adequate ventilation through SSHFJV. A recent study concludes that SSHFJV is physically tolerated by almost every patient and is found to be safe, even in patients with severe cardiovascular and pulmonary comorbidities 5 . We are not aware of a ventilation technique, other than SSHFJV, that would allow the use of the Trachealator balloon.…”

“…A recent study concludes that SSHFJV is physically tolerated by almost every patient and is found to be safe, even in patients with severe cardiovascular and pulmonary comorbidities. 5 We are not aware of a ventilation technique, other than SSHFJV, that would allow the use of the Trachealator balloon. However, theoretically, a very thin cannula could be placed through the balloon to provide sufficient ventilation and oxygenation.…”

Informed consent for suspension microlaryngoscopy: what should we tell the patient? A consensus statement of the European Laryngological Society

“…All other 24 complications (including 7 barotrauma) occurred during jet ventilation [ 20 ]. The use of the modern supraglottic high-frequency jet ventilation yielded no severe complications, such as barotrauma, subcutaneous emphysema, or endotracheal fire or death, in both adult or pediatric patients [ 21 , 22 ].…”