Hunsaker mon-jet tube ventilation: A 15-year experience
| Autor: | Amanda Hu, Philip A. Weissbrod, Allen D. Hillel, Jennifer C. Hsia, Nicole Maronian, Joanna M. Davies, Gouri K. Sivarajan |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Microsurgery medicine.medical_specialty medicine.medical_treatment Laryngoscopy Population Comorbidity High-Frequency Jet Ventilation Laryngeal Diseases Polyps Sex Factors Neoplasms Anesthesiology medicine Humans Hypoxia education Aged Retrospective Studies education.field_of_study medicine.diagnostic_test business.industry Granulomatosis with Polyangiitis Retrospective cohort study Consecutive case series Middle Aged Airway obstruction medicine.disease Obesity Morbid Surgery Airway Obstruction Causality Barotrauma Otorhinolaryngology Anesthesia Breathing Female business |
| Zdroj: | The Laryngoscope. 122:2234-2239 |
| ISSN: | 0023-852X |
| DOI: | 10.1002/lary.23491 |
| Popis: | Objective/Hypothesis: The Hunsaker Mon-Jet tube (HMJT) (Xomed, Jacksonville, FL) has been used effectively for subglottic ventilation. We previously reported a series of 552 patients over a 10-year period with no major complications. This is a continuation of that series with an additional 5 years of cases. Study Design: Retrospective consecutive case series. Methods: Patients who were ventilated with the HMJT for microlaryngeal surgery at the University of Washington Medical Center over a 15-year period (1995–2010) were identified from the Voice Disorders database. Charts were reviewed for demographic data, laryngeal diagnosis, and anesthetic parameters. Main outcome measure was the rate of complications. Results: Fifty-seven complications occurred in 49 cases out of 839 cases (5.8% complication rate). In descending order, the complications were hypoxia (SpO2 60 mm Hg, n = 17, 2.0%), airway obstruction (n = 4, 0.5%), barotrauma (n = 2, 0.2%), seeding of blood into trachea (n = 2, 0.2%), submucosal injection of air (n = 1, 0.1%), and mucosal damage (n = 1, 0.1%). Factors associated with complications included high body mass index (P = .04), American Society of Anesthesiology class III or IV (P = .01), history of heart disease (P = .02), history of previous laryngeal surgery (P = .02), longer duration of case (P = .006), and laser use (P = .005). Conclusions: Although subglottic ventilation via an HMJT is a safe alternative to traditional endotracheal intubation in an appropriately selected population, practitioners should remain vigilant about the known complications. Laryngoscope, 2012 |
| Databáze: | OpenAIRE |
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