title: Laryngotracheal anesthesia device as jet ventilation cannula for removal of fragmented intratracheal T-tube.
abstract: For tracheotomy procedures with general anesthesia, adequate surgical exposure, oxygenation, and ventilation of the lungs can be obtained by different techniques. We present a method of jet ventilation with use of a modified laryngotracheal anesthesia (LTA) device as a jet ventilation cannula during retrieval of a tracheal T-tube that broke within the trachea during removal. To our knowledge, this report is the first to document friability and subsequent difficult removal of a tracheal T-tube after intubation longer than recommended by the manufacturer. It is also the first report of a new technique using a simple LTA device modification to provide oxygen insufflation or jet ventilation in this or similar situations.
authors.affiliation: Department of Anesthesiology, University of Florida College of Medicine, Gainesville 32610-0254, USA.
authors.forename: M M
authors.initials: MM
authors.lastname: Brown
authors.forename: G B
authors.initials: GB
authors.lastname: Paige
mesh_terms: D000769:Anesthesia, Inhalation; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D014140:Tracheotomy