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Anales de Otorrinolaringología Mexicana

2006, Number 3

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Otorrinolaringología 2006; 51 (3)

Percutaneous transtracheal jet ventilation in endoscopic surgery of larynx

Huerta MC, Martínez GF, Morales CM, Zafra JI, Marhx GN, Valle LA

Language: Spanish
References: 24
Page: 116-120
PDF size: 321.87 Kb.


ABSTRACT

Objective
To report our experience in the use of percutaneous high frequency jet ventilation during anesthesia.

Patients and method
We carried out a case series study, prospective and descriptive, at the Anesthesiology Department of the Hospital Español of Mexico City. We included forty-eight patients with laryngeal microsurgery. A needle cricothyroidotomy was performed placing a plastic cannula (12 to 14 gauge). The cannula was connected to a 100% oxygen source at 250 mL/kg/L (pressure: 1-4 bars).

Results
Blood pressure and arterial gases were monitored. Initial PaO2 was 153 ± 45.5 torr and it increased at the end of the procedure (284 ± 86.7 torr). Initial PaCO2 was 75 ± 24 torr and 40.7 ± 4.5 at the end (after adjustment of ventilatory parameters). Minimal side effects of high frequency jet ventilation were observed.

Conclusion
The high frequency jet ventilation is an acceptable alternative method in patients with laryngeal microsurgery.


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