[High-frequency jet ventilation through a modified stomach tube in endobronchial 192 Iridium irradiation].
A case of sufficient high-frequency jet ventilation with a tip-cut nasogastric tube in a patient requiring endobronchial 192iridium irradiation is described. In order to allow the endotracheal introduction of a bronchoscope together with an 192iridium applicator during anesthesia with mechanical ventilation, the nasogastric tube was used instead of an endotracheal tube for jet ventilation. Using a frequency of 60/min and a fresh-gas flow of 15 l/min, FIO2 = 1.0, normocapnic, normoxemic ventilation could be achieved during the whole procedure. It is concluded that the method can be considered as an alternative in patients with narrow airways, provided that airway-pressure monitoring and bronchoscopy to confirm the position of the tube are employed.
Rieke
H
H
Zentrum Anaesthesiologie der Universität Göttingen.
Ulbrich
F
F
D000230:Adenocarcinoma / Q000532:radiotherapy* / Q000601:surgery; D000368:Aged; D001918:Brachytherapy / Q000295:instrumentation*; D020680:Bronchoscopes; D002245:Carbon Dioxide / Q000097:blood; D003131:Combined Modality Therapy; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006611:High-Frequency Jet Ventilation / Q000295:instrumentation*; D006801:Humans; D007496:Iridium Radioisotopes / Q000627:therapeutic use; D008175:Lung Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D010100:Oxygen / Q000097:blood; D011013:Pneumonectomy
D007496:Iridium Radioisotopes; D002245:Carbon Dioxide; D010100:Oxygen
Hochfrequente Jet-Ventilation über eine modifizierte Magensonde bei endobronchialer 192Iridium-Bestrahlung.