[Transtracheal jet ventilation in the operating room].
For the last 40 years transtracheal ventilation has been suggested as a means of bypassing the glottis in emergency in patients unable to be intubated or ventilated by mask. A catheter has been designed to be easily inserted into the crico-thyroid membrane. The outer part of the device, with its dual attachment system, can be connected to conventional resuscitation equipment by its 15 mm male end or to a high-pressure oxygen source by its Luer-Lock fitting. The advantages of transtracheal ventilation are: a clear vision of the operative field, a good gas exchange, an elimination of airway trauma from intubation, a reduction of the hazard of airway fires and a decreased risk of aspiration of blood and debris. Barotrauma is the main danger. However, this method of providing oxygen and/or mechanical ventilation may be extended to the postoperative period, the exit of the insufflated gas mixture being assured at all times.
Ravussin
P
P
Service d'anesthésiologie, Centre hospitalier et universitaire vaudois, Lausanne.
Chiolero
R
R
Monnier
P
P
D000769:Anesthesia, Inhalation; D002404:Catheterization; D004630:Emergencies; D006611:High-Frequency Jet Ventilation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D009873:Operating Rooms; D014140:Tracheotomy
La jet ventilation transtrachéale au bloc opératoire.