Two cases of barotrauma associated with transtracheal jet ventilation.

Craft, T M; Chambers, P H; Ward, M E; Goat, V A · Br J Anaesth · 1990

case_report · Level V

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Abstract

Two patients suffered barotrauma whilst undergoing transtracheal jet ventilation (TTJV). In the first, TTJV was provided by a Sanders injector and in the second it was given by a high frequency jet ventilator. Barotrauma was a consequence of the expiratory pathway becoming blocked. The mechanism of barotrauma and a method of airway pressure monitoring during TTJV are discussed. It is recommended that meticulous care is taken to ensure an adequate path for expiration when jet ventilation is used.

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