Barotrauma and hypotension resulting from jet ventilation in critically ill patients.
We present the first reports of pneumoperitoneum secondary to jet ventilation, barotrauma secondary to jet ventilation through the suction port of a fiberoptic laryngoscope, and hypotension due to jet ventilation via nasotracheal and orotracheal catheters. We suggest that minimizing airway pressure and using jet catheters with side holes may help decrease the risk of such complications. We cannot, at present, recommend the use of hand-held jet ventilators unless both adequate exhalation space is guaranteed and direct impingement of the catheter's tip on the mucosal surface is avoided.
D000368:Aged; D001469:Barotrauma / Q000209:etiology*; D003422:Critical Care; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007440:Intubation; D020704:Laryngoscopes; D008297:Male; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D011859:Radiography