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1999, Number 4

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Med Crit 1999; 13 (4)

Percutaneous high frequency jet ventilation

Huerta MC, Balcázar RR, Negrete EE, Méndez MG, Moscoso JMB

Language: Spanish
References: 20
Page: 137-141
PDF size: 150.87 Kb.


ABSTRACT

Objective: To report our experience in the use of percutaneous high frequency jet ventilation (HFJV) during anesthesia.
Design: Case series study.
Setting: Department Anesthesiology of a teaching hospital of Mexico City.
Patients: Six patients with difficult airway.
Interventions: A needle cricothyroidotomy was performed placing a plastic cannula (12 to 14 gauge). The cannula was then connected to 100% oxygen at 250 mL/kg/L (pressure: 1-4 bars).
Measurements and main results: Blood pressure and arterial gases were monitored. Initial PaO2 was 153 ± 45.5 torr and an increase at the end of procedure (284 ± 86.7 torr) was observed. Initial PaCO2 was 75 ± 24 torr and 40.7± 45.5 torr (after adjustment of ventilatory parameters at the end. Minimal side effects of HFJV was observed.
Conclusion: La HFJV is an acceptable alternative method in patients with difficult airway.


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