title: Elective use of the Ventrain for upper airway obstruction during high-frequency jet ventilation.
abstract: The safety of high pressure source ventilation (jet ventilation) is dependent upon upper airway patency to facilitate adequate passive expiration and prevent increasing intrathoracic pressure and its associated deleterious sequelae. Distortions in airway anatomy may make passive expiration inadequate or impossible in some patients. We report the elective use of the Ventrain device to provide ventilation in a clinical setting of upper airway obstruction in a patient with post radiation fibrosis that had previously prevented passive expiration during attempted high pressure source ventilation.
authors.affiliation: Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, UK, SE19RT. Electronic address: andy.fearnley@gstt.nhs.uk.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Fearnley
authors.affiliation: Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, UK, SE19RT.
authors.forename: Sheela
authors.initials: S
authors.lastname: Badiger
authors.affiliation: Department of Otolaryngology, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, UK, SE19RT.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Oakley
authors.affiliation: Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, UK, SE19RT.
authors.forename: Imran
authors.initials: I
authors.lastname: Ahmad
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000532:radiotherapy; D006258:Head and Neck Neoplasms / Q000150:complications / Q000532:radiotherapy; D006611:High-Frequency Jet Ventilation / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011878:Radiotherapy / Q000009:adverse effects; D013965:Thyroidectomy
keywords: Cricothyroidotomy; Difficult airway; High-frequency jet ventilation; Upper airway obstruction