Anest. intenziv. Med. 2010;21(6):324-330
High frequency jet ventilation applied via a catheter for Fantoni's tracheostomyIntensive Care Medicine - Original Paper
- KAIM VÚSCH, a. s., LF UPJŠ Košice, Slovenská republika
Objective:
The main goal of this work was trying to replace conventional ventilation using an original, small internal diameter, long-cuffed endotracheal (ET) tube with a high flow resistance, by high-frequency jet ventilation applied via a special catheter (C-HFJV).
The authors describe the use of high-frequency jet ventilation applied via a catheter for a translaryngeal (retrograde) tracheostomy by Fantoni (TLT).
Type of study:
Prospective observational study.
Setting:
Department of Anaesthesia and Intensive Medicine.
Materials and methods:
The authors were using the following equipment for TLT: a flexible bronchoscope, a HFJV ventilator witch a catheter and the Translaryngeal Tracheostomy Kit (Malincrodt Medical GmbH, Hennef, Germany). Sufficient ventilation for performing the TLT was achieved by high-frequency jet ventilation delivered through a 2-way prototype ventilation-catheter (C-HFJV) in a group of 10 patients.
Results:
There was no significant negative impact on the basic vital signs in any of the cases. A comparison of pH, SpO2, PaO2 and PaCO2 changes before and after the application of C-HFJV did not show a statistically significant difference. PEEPi generated during C-HFJV did not exceed 4-5 cm H2O, whereas during conventional ventilation via the original ET tube it was fluctuating between 15-17 cm H2O.
Conclusion:
The authors conclude that this modification of the Fantoni tracheostomy method improves the ventilation parameters and shortens the procedure.
Keywords: translaryngeal tracheostomy; HFJV via a catheter
Received: May 13, 2010; Accepted: September 21, 2010; Published: December 1, 2010 Show citation
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