Transtracheal jet ventilation

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.
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.
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.

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[pmid3829291-1] 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.

[pmid2683873-2] 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.

[pmid3813383-3] 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.

[pmid16103392-4] 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.

[5] 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.