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The Utility of Routine Chest Radiography Following Jet Ventilation in Elective Laryngotracheal Surgery
Author(s) -
Merati Albert L.,
Sale Keith A.,
Toohill Robert J.
Publication year - 2004
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200408000-00015
Subject(s) - medicine , atelectasis , pneumomediastinum , tracheotomy , pneumothorax , airway , radiography , surgery , ventilation (architecture) , elective surgery , airway management , radiology , anesthesia , lung , mechanical engineering , engineering
Objectives/Hypothesis: Jet ventilation is a useful mode of airway management for laryngotracheal surgery. The objective of this study is to evaluate the utility of routine chest radiography following jet ventilation for these cases. Study Design: Retrospective chart review. Methods: Thirty‐four elective surgical procedures performed from 1998 to 2002 are reviewed for postoperative airway and pulmonary complications. Data were collected from clinical notes as well as from the results of chest radiographs. This included the need for tracheotomy, reintubation, pneumothorax, pneumomediastinum, and atelectasis. Results: A retrospective chart examination revealed no major complications. Twenty‐nine of the 34 cases had postoperative chest radiography (CXR) performed on a routine basis. Atelectasis was present in 12 of 29 CXR (41%); no intervention was required in these cases. Conclusions: Routine postoperative CXR may not be useful following jet ventilation for elective laryngotracheal surgery. The safety of jet ventilation is discussed.