Emergency percutaneous transtracheal jet ventilation in a hypoxic cardiopulmonary resuscitation setting: a life-saving rescue technique

(Un)anticipated difficult airway remains a challenge in anaesthesia. Percutaneous transtracheal jet ventilation has been shown to be an adequate technique for temporary oxygenation and ventilation and has been described as an acknowledged method in emergency settings of an unanticipated difficult ai...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2018-01, Vol.2018, p.bcr-2017-222283
Main Authors: Dong, Phi-Vu, ter Horst, Leontien, Krage, Ralf
Format: Article
Language:English
Subjects:
Airway Obstruction - etiology
Airway Obstruction - therapy
Cardiopulmonary Resuscitation - methods
Female
Humans
Hypoxia - etiology
Hypoxia - therapy
Intermittent Positive-Pressure Ventilation - methods
Intubation, Intratracheal - adverse effects
Laryngeal Edema - etiology
Laryngeal Edema - therapy
Middle Aged
Reminder of Important Clinical Lesson
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:(Un)anticipated difficult airway remains a challenge in anaesthesia. Percutaneous transtracheal jet ventilation has been shown to be an adequate technique for temporary oxygenation and ventilation and has been described as an acknowledged method in emergency settings of an unanticipated difficult airway. These emergency settings can be considered as low incidence high-risk situations. Both technical and non-technical skills should be trained regularly as education and simulation continues to play an important factor in patient safety. Furthermore, postoperative laryngeal oedema due to altered lymphatic drainage patterns must be considered as a possible mechanism of an upper airway obstruction in combination with a history of neck dissection and radiotherapy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-222283