Jet ventilation in a case of tracheal obstruction secondary to a retrosternal goitre
| Autor: | Patrick Choueiry, Musa Muallem, Mireille Jamhoury, Anis Baraka |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Artificial ventilation
Retrosternal goitre medicine.medical_specialty medicine.medical_treatment Tracheal tube chemistry.chemical_compound medicine Intubation Intratracheal Intubation Humans Aged Tracheal Diseases business.industry General Medicine Oxygenation Nitrous oxide respiratory system Airway obstruction equipment and supplies medicine.disease Respiration Artificial Surgery Airway Obstruction Oxygen Jet ventilation Anesthesiology and Pain Medicine chemistry Anesthesia Goiter Substernal Anesthesia Intravenous Female business Anesthesia Inhalation circulatory and respiratory physiology |
| Zdroj: | Canadian journal of anaesthesia = Journal canadien d'anesthesie. 40(9) |
| ISSN: | 0832-610X |
| Popis: | Intermittent jet ventilation was used during anaesthesia in a 66-yr-old woman who had severe tracheal narrowing secondary to compression by a retrosternal goitre. The trachea was intubated by a small-bore tube, which was placed above the site of narrowing. An injector was connected to the proximal end of the tracheal tube on one side and to the anaesthesia circuit on the other. Intermittent jets of 66% nitrous oxide in oxygen via the injector resulted in adequate oxygenation and carbon dioxide elimination. Arterial blood gas analysis during jet ventilation showed PaO2 150 mmHg, PaCO2 35 mmHg and pH 7.4. It is concluded that low-frequency jet ventilation may provide adequate oxygenation and carbon dioxide elimination in the presence of tracheal narrowing. |
| Databáze: | OpenAIRE |
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