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Original Research

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Transtracheal jet ventilation in a porcine model

  • RYAN MCHUGH1
  • MATTHEW KUMAR1
  • JURAJ SPRUNG1

1,Mayo Clinic College of Medicine

DOI: 10.22514/SV31.042008.6 Vol.3,Issue 1,April 2008 pp.39-42

Published: 01 April 2008

*Corresponding Author(s): JURAJ SPRUNG E-mail: Sprung.juraj@mayo.edu

Abstract

Hypoxemia is a frequent event during difficult airway management. We propose to use transtracheal jet ventilation (TTJV) early during the management of complex difficult airway scenarios. The objective of this porcine study is to highlight the benefit of oxygenation via prophylactic TTJV. Eighteen pigs (Sus scrofa) were divided into two equal groups. In Group A, pigs were anesthetized and no lung ventilation was conducted following administration of succinylcholine and prior to tracheal intubation. Group B, after induction of anesthesia, received transtracheal ventilation using 100% oxygen. In both groups intubation was performed after waiting 90 seconds. All intubations were achieved in less than 30 seconds. Post-intubation arterial blood gases demonstrated significant hypoxemia in Group A (PaO2 22.6 + 5.8 mm Hg), while in Group B oxygenation substantially improved (PaO2 470.3 + 17.0 mm Hg). The arterial CO2 retention was associated with mild respiratory acidosis (pH 7.26 ± 0.05) in Group A only. These findings prove that prophylactic TTJV can improve oxygenation and allow extra time for definitive management of difficult airway.

Keywords

transtracheal catheter; ventilation, tracheal intubation, dif-ficult hypoxemia

Cite and Share

RYAN MCHUGH,MATTHEW KUMAR,JURAJ SPRUNG. Transtracheal jet ventilation in a porcine model. Signa Vitae. 2008. 3(1);39-42.

References

1. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003;98:1269-77.

2. McHugh R, Kumar M, Sprung J, Bourke D. Transtracheal jet ventilation in management of the difficult airway. Anaesth Intensive Care 2007;35:406-8.

3. Mateer JR, Olson DW, Stueven HA, Aufderheide TP. Continuous pulse oximetry during emergency endotracheal intubation. Ann Emerg Med 1993;22:675-9.

4. Frame SB, Timberlake GA, Kerstein MD, Money MK, Hendrickson MF, Akers DL, et al, editors. Transtracheal needle catheter ventilation in complete airway obstruction: an animal model. Ann Emerg Med 1989;18:127-33.

5. Hauswald M, Ong G, Yeoh E. Percutaneous needle cricothyroidotomy with repetitive airway obstruction. Am J Emerg Med 1995;13:623-5.

6. Preussler NP, Schreiber T, Huter L, Gottschall R, Schubert H, Rek H, et al, editors. Percutaneous transtracheal ventilation: effects of a new oxygen flow modulator on oxygenation and ventilation in pigs compared with a hand triggered emergency jet injector. Resuscitation 2003;56:329-33.

7. Schaefer R, Hueter L, Preussler NP, Schreiber T, Schwarzkopf K. Percutaneous transtracheal emergency ventilation with a self-made device in an animal model. Paediatr Anaesth 2007;17:972-6.

8. Benumof JL, Scheller MS. The importance of transtracheal jet ventilation in the management of the difficult airway. Anesthesiology 1989;71:769-78.

9. Patel RG. Percutaneous transtracheal jet ventilation: a safe, quick, and temporary way to provide oxygenation and ventilation when con-ventional methods are unsuccessful. Chest 1999;116:1689-94.

10. Wilson WC. Trauma: Airway management. ASA difficult algorithm modified to trauma--and five common trauma intubation scenarios. ASA Newsletter 2005;69:9-16.

11. Smith RB, Schaer WB, Pfaeffle H. Percutaneous transtracheal ventilation for anaesthesia and resuscitation: a review and report of complica-tions. Can Anaesth Soc J 1975;22:607-12.

12. Bourgain JL, Desruennes E, Fischler M, Ravussin P. Transtracheal high frequency jet ventilation for endoscopic airway surgery: a multi-centre study. Br J Anaesth 2001;87:870-5.

13. Chang JL, Bleyaert A, Bedger R. Unilateral pneumothorax following jet ventilation during general anesthesia. Anesthesiology 1980;53:244-6.

14. Weymuller EA, Jr., Pavlin EG, Paugh D, Cummings CW. Management of difficult airway problems with percutaneous transtracheal ventila-tion. Ann Otol Rhinol Laryngol 1987;96:34-7.

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