JET VENTILATION IN A CASE OF TRACHEAL OBSTRUCTION SECONDARY TO A RETROSTERNAL GOITER

Citation
A. Baraka et al., JET VENTILATION IN A CASE OF TRACHEAL OBSTRUCTION SECONDARY TO A RETROSTERNAL GOITER, Canadian journal of anaesthesia, 40(9), 1993, pp. 875-878
Citations number
10
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Anesthesiology
ISSN journal
0832-610X
Volume
40
Issue
9
Year of publication
1993
Pages
875 - 878
Database
ISI
SICI code
0832-610X(1993)40:9<875:JVIACO>2.0.ZU;2-5
Abstract
Intermittent jet ventilation was used during anaesthesia in a 66-yr-ol d woman who had severe tracheal narrowing secondary to compression by a retrosternal goitre. The trachea was intubated by a small-bore tube, which was placed above the site of narrowing. An injector was connect ed to the proximal end of the tracheal tube on one side and to the ana esthesia circuit on the other Intermittent jets of 6601, nitrous oxide in oxygen via the injector resulted in adequate oxygenation and carbo n dioxide elimination. Arterial blood gas analysis during jet ventilat ion showed PaO2 150 mmHg, PaCO2 35 mmHg and pH 74. It is concluded tha t low-frequency jet ventilation may provide adequate oxygenation and c arbon dioxide elimination in the presence of tracheal narrowing.