Emergency tracheal catheterization for jet ventilation: a role for the ENT surgeon?

2005 ◽  
Vol 119 (3) ◽  
pp. 235-236 ◽  
Author(s):  
T D A Standley ◽  
H L Smith
Keyword(s):  
Respiratory Failure ◽  
Airway Obstruction ◽  
General Anaesthesia ◽  
Laryngeal Carcinoma ◽  
Upper Airway ◽  
Cricothyroid Membrane ◽  
Failed Intubation ◽  
Jet Ventilation ◽  
Life Saving ◽  
Partial Upper Airway Obstruction

Stridor causing respiratory failure is an ENT and anaesthetic emergency requiring prompt management to secure a clear airway. We describe a case of subacute partial upper airway obstruction due to a large laryngeal carcinoma in an 81-year-old male resulting in respiratory failure. The patient became apnoeic after gaseous induction of general anaesthesia, and after two failed intubation attempts an emergency transtracheal airway catheter was placed by the surgeon under direct vision below the cricothyroid membrane, as this had tumour involvement. The patient was subsequently manually jet-ventilated with ease until a formal tracheostomy was made. Where difficulties with tracheal anatomy are encountered due to the presence of pathology, the insertion of a temporary airway catheter for jet ventilation by the surgeon can buy valuable time and be life-saving.

scholarly journals The Percutaneous Transtracheal Jet Ventilation in a Patient with Partial Upper Airway Obstruction

2001 ◽  
Vol 8 (4) ◽  
pp. 223-226 ◽  
Author(s):  
KY Fung ◽  
MC Yuen ◽  
WK Tung
Keyword(s):  
Airway Obstruction ◽  
Difficult Airway ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Emergency Physicians ◽  
Jet Ventilation ◽  
Partial Upper Airway Obstruction ◽  
Set Up

Difficult airway is a challenging emergency problem for emergency physicians. We reported a patient with partial upper airway obstruction managed by percutaneous transtracheal jet ventilation (PTJV) before definite airway was secured. The development, the set up, the advantages, and the precautions of using PTJV are briefly described.

Gender differences in age and BMI distributions in partial upper airway obstruction during sleep

2007 ◽  
Vol 159 (2) ◽  
pp. 219-226 ◽  
Author(s):  
Ulla Anttalainen ◽  
Tarja Saaresranta ◽  
Nea Kalleinen ◽  
Jenni Aittokallio ◽  
Tero Vahlberg ◽  
...  
Keyword(s):  
Gender Differences ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Partial Upper Airway Obstruction

scholarly journals An unusual cause of upper airway obstruction in a child during general anaesthesia

2014 ◽  
Vol 58 (2) ◽  
pp. 222 ◽  
Author(s):  
Sugata Dasgupta ◽  
Soumi Das ◽  
Dipasri Bhattacharya ◽  
Sonia Agarwal
Keyword(s):  
Airway Obstruction ◽  
General Anaesthesia ◽  
Upper Airway ◽  
Upper Airway Obstruction

scholarly journals Jet Ventilation for the Excision of Vocal Cord Polyps in a Pregnant Patient

2011 ◽  
Vol 39 (6) ◽  
pp. 1136-1138 ◽  
Author(s):  
H. EL Shobary ◽  
M. Gauthier ◽  
T. Schricker
Keyword(s):  
Pregnant Woman ◽  
Airway Obstruction ◽  
General Anaesthesia ◽  
Vocal Cord ◽  
Pregnant Patient ◽  
Anaesthetic Management ◽  
Surgical Removal ◽  
Jet Ventilation ◽  
Laryngeal Tumours

The anaesthetic management of patients presenting with laryngeal tumours and airway obstruction is difficult. We present the case of a pregnant woman at 30 weeks gestation who underwent surgical removal of two vocal cord polyps under general anaesthesia using jet ventilation

scholarly journals An Unusual cause of Acute Hypercapneic Respiratory Failure

2011 ◽  
Vol 5 ◽  
pp. CCRPM.S7687
Author(s):  
Janice Wang ◽  
Astha Chichra ◽  
Seth Koenig
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Diagnostic Imaging ◽  
Airway Obstruction ◽  
Pulmonary Disease ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Progressive Dyspnea

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure.

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 Emergent thyroidectomy with sternotomy due to acute respiratory failure with severe thyroid storm

2018 ◽  
Vol 100 (8) ◽  
pp. e223-e225
Author(s):  
A Matsushita ◽  
S Hosokawa ◽  
D Mochizuki ◽  
J Okamura ◽  
K Funai ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Airway Obstruction ◽  
Total Thyroidectomy ◽  
Upper Airway ◽  
Thyroid Storm ◽  
Graves Disease ◽  
Nasal Intubation ◽  
Threatening Condition ◽  
Life Threatening

Huge cervical and mediastinal masses may lead to acute respiratory failure caused by laryngotracheal compression and airway obstruction. Thyroid storm is also a life-threatening endocrine emergency originating almost exclusively from uncontrolled Graves’ disease. We report a case of a 42-year-old man with acute upper airway obstruction and tachycardia from progressive swelling of a giant thyroid, in conjunction with thyroid storm resulting from uncontrolled Graves’ disease. Fibreoptic-assisted nasal intubation was performed while the patient was awake, immediately followed by emergency total thyroidectomy via a cervical and sternal approach. The patient had an uneventful postoperative course and recovered well. Respiratory failure due to swelling of a giant thyroid is a life-threatening condition and should be treated immediately with endotracheal intubation while the patient is awake following emergent total thyroidectomy, even with a sternotomy.

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