The mode of ventilation depends on the type of surgery being undertaken . High-frequency jet ventilation gives an optimal surgical view but. approach to the airway and jet ventilation (JV) is a mutually convenient Ossoff RH: Laser safety in otolaryngology–head and neck surgery. ObjectiveTo describe our experience with superimposed high-frequency jet ventilation (SHFJV), JAMA Otolaryngology–Head & Neck Surgery .. This was partly achieved when various forms of jet ventilation were introduced for surgical .

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Anaesthesia for airway surgery | BJA Education | Oxford Academic

The inspiratory pressures measured at the tip of the jet laryngoscope were 5. If the adjusted pressure limits are exceeded, the gas laryngoology is cut off and an alarm sounds.

The effects on laryngeal function and airway patency must also be investigated. Both jet ventilators are capable of providing 2 separate jet streams with 2 different frequencies simultaneously, and both have an integrated alarm system with an inspiratory peak pressure limit.

Of the patients, were female, were male, and 40 were children ranging from neonate to 14 years of age. Otolaryngol Head Neck Surg.

In order to maintain airway patency following extubation under deep anaesthesia, a LMA can be used. If the jet laryngoscope is inserted correctly, the carina can be seen. A preoperative fibreoptic endoscopic examination which may be performed using topical, nasal anaesthesia is an extremely useful investigation, allowing formation of a joint management plan.


Following surgery to the airway, there is the risk of laryngeal spasm, aspiration, or airway obstruction due to oedema or haematoma formation. Laser safety in otolaryngology—head and neck veentilation A cuff is inflated in the trachea, laryngooogy the lower airway from contamination.

The small diameter of the nasendoscope often allows examination without any anaesthesia. This is frequently delivered using a high-pressure gas source via a narrow cannula attached to a suspension laryngoscope or bronchoscope. Our website uses cookies to enhance your experience.


High-frequency jet ventilation–a review of its role in laryngology.

This allows the use of standard anaesthetic equipment in normal operating mode. Intermittent, positive-pressure ventilation or positive, end-expiratory pressure may cause veentilation subcutaneous emphysema. Arch Otolaryngol Head Neck Surg. Patients presenting for airway surgery frequently have coexisting medical problems often smoking-related ; they may require optimization before surgery.

High-frequency jet ventilation–a review of its role in laryngology.

At the end of the surgical procedure and after the patient regained protective reflexes, the jet laryngoscope was removed. Air is still entrained, although generated tidal volumes are much smaller than those used in conventional ventilation.

In extremisdirect laryngoscopy and tracheal intubation with minimal anaesthesia may be deemed appropriate. Psychosocial factors include fear of choking, death, and inability to communicate ventilahion tracheostomy. For endoscopic procedures of the larynx and the trachea, different jet ventilation techniques can be applied. Specifically designed masks are worn to reduce this risk.


Contraindications for SHFJV using the jet laryngoscope are acute bleeding in the tracheobronchial system and inability of the patient to hyperextend the neck. Larryngology, there paryngology a risk of barotrauma with use of a high-pressure gas system, especially if the jet is below the larynx.

Sign in to customize your interests Sign in to your personal account. However, there is often reduced access to the surgical field and the tracheal tube obscures the posterior one-third of the glottis.

Superimposed High-Frequency Jet Ventilation for Laryngeal and Tracheal Surgery

Management options for the anaesthetist include: Many patients return for multiple procedures. This is usually delivered lqryngology a micro-laryngoscopy tube MLT. Key points Airway surgery requires a high degree of cooperation between anaesthetist and surgeon.

No complications due to the ventilation technique were observed. At this point, ventilation of the patient is not possible with any current ventilation technique.

Both ventilators work with an oxygen-air mixture, and both have integrated manometers for displaying the inspiratory pressure.

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