Two cases of barotrauma associated with transtracheal jet ventilation.
Two patients suffered barotrauma whilst undergoing transtracheal jet ventilation (TTJV). In the first, TTJV was provided by a Sanders injector and in the second it was given by a high frequency jet ventilator. Barotrauma was a consequence of the expiratory pathway becoming blocked. The mechanism of barotrauma and a method of airway pressure monitoring during TTJV are discussed. It is recommended that meticulous care is taken to ensure an adequate path for expiration when jet ventilation is used.
Craft
T M
TM
Milton Keynes General Hospital, Eaglestone.
Chambers
P H
PH
Ward
M E
ME
Goat
V A
VA
D001469:Barotrauma / Q000209:etiology*; D005260:Female; D006611:High-Frequency Jet Ventilation / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000209:etiology; D011030:Pneumothorax / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000209:etiology; D013898:Thoracic Injuries / Q000209:etiology*