Supplemental jet ventilation in conscious patients following major oesophageal surgery.
Intensive care unit patients are at particular risk of respiratory failure after major abdominal surgery. Non-invasive ventilation or application of continuous positive airway pressure through a face mask may stabilise respiratory function and avoid the need for endotracheal re-intubation. However; there are various contraindications to non-invasive ventilation and/or tracheal re-intubation, such as recent oesophageal anastomosis, anastomotic leakage or tracheal stenting for tracheo-oesophageal fistula. A specific management strategy consisting of continuous intratracheal jet ventilation to support spontaneous respiratory function is described in two patients with contraindications to non-invasive ventilation or mask continuous positive airway pressure after major oesophageal surgery.
Bingold
T M
TM
Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, J. W. Goethe-University School of Medicine, Frankfurt, Germany.
Scheller
B
B
Kloesel
S
S
Wissing
H
H
Zwissler
B
B
Byhahn
C
C
D000368:Aged; D045422:Continuous Positive Airway Pressure; D000075202:Contraindications; D004947:Esophagus / Q000601:surgery; D017809:Fatal Outcome; D006611:High-Frequency Jet Ventilation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*