CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cooper, R. M.
Right arrow Articles by Cohen, D. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cooper, R. M.
Right arrow Articles by Cohen, D. R.

Canadian Journal of Anesthesia, Vol 41, 1196-1199, Copyright © 1994 by Canadian Anesthesiologists' Society

ARTICLES

The use of an endotracheal ventilation catheter for jet ventilation during a difficult intubation

RM Cooper and DR Cohen
Department of Anaesthesia, Toronto Hospital, Ontario.

This case report describes the use of an endotracheal ventilation catheter (ETVC) to provide prolonged intraoperative jet ventilation, reintubation and the maintenance of tracheal access following extubation. It emphasizes that excellent oxygenation and ventilation can be achieved but such management can be complicated by a pneumothorax even when the risks are minimized. A 43-yr-old man presented for possible pulmonary sleeve resection. Placement of a double lumen endotracheal tube (DLT) by direct laryngoscopy was unsuccessful due to the inability to visualize the glottis. A 7.5 mm endotracheal tube (ETT) was successfully introduced over a fibreoptic bronchoscope (FOB). An ETVC was passed, permitting manually cycled jet ventilation while general intravenous anaesthesia and muscle relaxation were maintained. The ETT was then withdrawn over the ETVC and jet ventilation continued for approximately 90 min, while attempts at placing a DLT over a now malfunctioning FOB continued. These attempts were eventually abandoned and the patient was returned to the post-anaesthesia care unit (PACU) haemodynamically stable. The trachea was extubated over the ETVC, which remained in situ. A pneumothorax was noted on the postoperative chest x-ray. This case illustrates prolonged intraoperative jet injection via a "jet stylet" with satisfactory ventilation and oxygenation but complicated by a pneumothorax. Also it illustrates a strategy for the management of a "difficult extubation."


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
P. W. Hogan and M. Argalious
Total Airway Obstruction After Maxillomandibular Advancement Surgery for Obstructive Sleep Apnea
Anesth. Analg., November 1, 2006; 103(5): 1267 - 1269.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. S. Stix, C. J. Borromeo, S. Ata, and P. D. Teague
A Modified Intubating Laryngeal Mask for Endotracheal Tube Exchange
Anesth. Analg., October 1, 2000; 91(4): 1021 - 1023.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1994 by the Canadian Anesthesiologists' Society.