The use of mini-tracheostomy and high frequency jet ventilation in the management of acute airway obstruction

1986 ◽  
Vol 100 (10) ◽  
pp. 1199-1202 ◽  
Author(s):  
S. J. Squires ◽  
M. C. Frampton
Keyword(s):  
Airway Obstruction ◽  
High Frequency ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Operating Theatre ◽  
Optimal Conditions ◽  
Jet Ventilation ◽  
High Frequency Jet Ventilation ◽  
Acute Airway Obstruction

AbstractA case is described in which upper airway obstruction was successfully treated using cri-cothyroidotomy in association with high frequency jet ventilation. This procedure allowed time for the patient to be transferred to the operating theatre for formal tracheostomy under optimal conditions. It is suggested that the Portex ‘Mini-trach’ kit, though primarily designed for tracheobronchial toilet, can be used to provide a satisfactory and safe airway during the resuscitation of an obstructed patient, particularly if jet ventilation is available.

scholarly journals Concurrent Negative-Pressure Pulmonary Edema (NPPE) and Takotsubo Syndrome (TTS) after Upper Airway Obstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Evan Harmon ◽  
Sebastian Estrada ◽  
Ryan J. Koene ◽  
Sula Mazimba ◽  
Younghoon Kwon
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Takotsubo Syndrome ◽  
Negative Pressure Pulmonary Edema ◽  
Acute Airway Obstruction ◽  
Increased Risk ◽  
Life Threatening

Upper airway obstruction is a potentially life-threatening emergency often encountered in the acute care, perioperative, and critical care settings. One important complication of acute obstruction is negative-pressure pulmonary edema (NPPE). We describe two cases of acute upper airway obstruction, both of which resulted in flash pulmonary edema complicated by acute hypoxic respiratory failure. Though NPPE was suspected, these patients were also found to have Takotsubo syndrome (TTS). Neither patient had prior cardiac disease, and both subsequently had a negative ischemic workup. Because TTS is a condition triggered by hyperadrenergic states, the acute airway obstruction alone or in combination with NPPE was the likely explanation for TTS in each case. These cases highlight the importance of also considering cardiogenic causes of pulmonary edema in the setting of upper airway obstruction, which we suspect generates a profound catecholamine surge and places patients at increased risk of TTS development.

Translaryngeal jet ventilation and end-tidal PCO2 monitoring during varying degrees of upper airway obstruction

1991 ◽  
Vol 20 (11) ◽  
pp. 1193-1197 ◽  
Author(s):  
Kevin R Ward ◽  
James J Menegazzi ◽  
Donald M Yealy ◽  
Miroslav M Klain ◽  
Renee L Molner ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Jet Ventilation ◽  
Pco2 Monitoring ◽  
End Tidal

scholarly journals Safety of transtracheal jet ventilation in upper airway obstruction

2005 ◽  
Vol 95 (4) ◽  
pp. 560-561 ◽  
Author(s):  
A.D.M. McLeod ◽  
M.W.H. Turner ◽  
K.J. Torlot
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Jet Ventilation

scholarly journals The Contentious Management of Anaplastic Thyroid Carcinoma with Acute Airway Obstruction during COVID-19 Pandemic

2021 ◽  
pp. 1-11
Author(s):  
Ahmad Izani Mohd Safian ◽  
Kamaruddin Ibrahim ◽  
Seoparjoo Azmel Mohd Isa ◽  
Norhafiza Mat Lazim ◽  
Irfan Mohamad
Keyword(s):  
Thyroid Carcinoma ◽  
Airway Obstruction ◽  
Fatal Outcome ◽  
Upper Airway ◽  
Anaplastic Thyroid Carcinoma ◽  
Upper Airway Obstruction ◽  
Acute Airway Obstruction ◽  
Assessment And Treatment ◽  
Patient Will ◽  
Unknown Status

There are many important concerns and issues raised in managing acute airway obstruction cases with regards to the current COVID-19 pandemic. As a further matter, a patient with a huge thyroid mass in anaplastic thyroid carcinoma (ATC) presenting with impending airway obstruction poses treatment challenges, as immediate active intervention is necessary despite the risk of spreading of COVID-19 viruses. The unknown status of COVID-19 of the patient will add additional concerns during active assessment and treatment as patients with this undifferentiated thyroid carcinoma commonly deteriorate fast. This carcinoma may also invade the trachea and result in upper airway obstruction leading to a fatal outcome. Therefore, an appropriate treatment strategy is essential. This report highlights a case of an ATC patient who presented with diffuse cemented-hard anterior neck, whereby the whole management of ATC with acute airway obstruction during this COVID-19 pandemic is purely contentious and challenging. The issue of providing artificial ventilation either via intubation or tracheostomy is made more complicated as the patient presents with an acute upper airway obstruction whilst the COVID-19 status is unknown. While endotracheal intubation approach was not easy, the trachea was also difficult to be identified externally due to the huge ‘cemented-hard’ mass plastered over the compressed trachea. Due to the advanced disease, surgical intervention was not an option.

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