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Low frequency jet ventilation for tracheal resection
Author(s) -
Scamman Franklin L.,
Choi Won W.
Publication year - 1986
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 - 10.1288/00005537-198606000-00016
Subject(s) - jet ventilation , medicine , ventilation (architecture) , anastomosis , lumen (anatomy) , stenosis , tracheal stenosis , jet (fluid) , surgery , tube (container) , tracheal tube , anesthesia , materials science , intubation , mechanics , radiology , airway , physics , meteorology , composite material
Low frequency jet ventilation was used successfully for maintaining normal ventilation during tracheal resection for stenosis. Following resection of the stenosis around the endotrocheal tube, the tube was withdrawn and the proximal end of a sterile double lumen nasogastric tube with the distal end removed passed over the ether screen. The larger lumen was connected to a Saunders jet apparatus and the smaller to a CO 2 analyzer. With the distal end held in the lumen of the distal tracheal stump, jet ventilation was initiated at a rate of 20/min at a pressure sufficient to obtain adequate chest rise and fall. Adequate CO 2 removal was verified by monitoring the expired level and blood gases. We obtained normal arterial and end tidal gas tensions by this method which allowed the surgeon complete freedom to anastomose the posterior and lateral tracheal walls.