High frequency jet ventilation applied via a catheter for Fantoni’s tracheostomy

Česká verze

Authors: Čandík Peter; Hermely Albert; Török Pavol; Sopko Imrich; Sýkora René
Authors place of work: KAIM VÚSCH, a. s., LF UPJŠ Košice, Slovenská republika
Published in the journal: Anest. intenziv. Med., 21, 2010, č. 6, s. 324-330
Category: Intenzivní medicína - Původní práce

Summary

Objective:
The main goal of this work was trying to replace conventional ventilation using an original, small internal diameter, long-cuffed endotracheal (ET) tube with a high flow resistance, by high-frequency jet ventilation applied via a special catheter (C-HFJV).

The authors describe the use of high-frequency jet ventilation applied via a catheter for a translaryngeal (retrograde) tracheostomy by Fantoni (TLT).

Type of study:
Prospective observational study.

Setting:
Department of Anaesthesia and Intensive Medicine.

Materials and methods:
The authors were using the following equipment for TLT: a flexible bronchoscope, a HFJV ventilator witch a catheter and the Translaryngeal Tracheostomy Kit (Malincrodt Medical GmbH, Hennef, Germany). Sufficient ventilation for performing the TLT was achieved by high-frequency jet ventilation delivered through a 2-way prototype ventilation-catheter (C-HFJV) in a group of 10 patients.

Results:
There was no significant negative impact on the basic vital signs in any of the cases. A comparison of pH, SpO₂, PaO₂ and PaCO₂ changes before and after the application of C-HFJV did not show a statistically significant difference. PEEPi generated during C-HFJV did not exceed 4–5 cm H₂O, whereas during conventional ventilation via the original ET tube it was fluctuating between 15–17 cm H₂O.

Conclusion:
The authors conclude that this modification of the Fantoni tracheostomy method improves the ventilation parameters and shortens the procedure.

Keywords:
translaryngeal tracheostomy – HFJV via a catheter

Zdroje

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