Korean J Anesthesiol.  1989 Apr;22(2):329-335. 10.4097/kjae.1989.22.2.329.

High Frequency Jet Ventilation in Tracheal Tumor Surgery

• Park WK
• Bang SO
• Nam SH
• Kwon MN
• Oh HK
• Cho CH

• KMID: 2240810
• DOI: http://doi.org/10.4097/kjae.1989.22.2.329

Abstract

A 38-year old male patient underwent tracheal reconstruction because of a tracheal tumor. A CT scan showed that the mass was located 5 cm above the carina, the size was 2x1.5cm, and there was a 50% narrowing of the stenotic segment. After endotracheal intubation (1.D. 8mm), a pediatric suction catheter (lenght:40cm, diameter: 2mm) was inserted with a stylet at the side of the tube to pass the stenotic segment with fiberoptic bronchoscopic guidance. Conventional ventilation with an inhalation agent was performed and HFJV was started just prior to the tracheal incision. A driving gas pressure of 1 kg/cm, respiratory rate of 120/min., I:E ratio fo 1:1, and Fio2 of 1.0 were applied through the suction catheter. Ten minutes after HFJV, PaCO2showed 50mmHg. Hypercabia was relieved by increasing the driving gas pressure from 1kg/cm(2) to 1.5 kg/cm(2). HFJV was performed for one and a half hours. During the procedure, blood gas analyses were perfomed frequently and all results revealed an adequate ventilatory status. After completing the end to end anastomosis, conventional ventilation was started until surgery was ended. The patient's course proceeded uneventfully and he was discharged 13 days after surgery.

Keyword

Lung: tracheal tumor; Ventilation: high frequency jet

MeSH Terms

Adult
Blood Gas Analysis
Catheters
High-Frequency Jet Ventilation*
Humans
Inhalation
Intubation, Intratracheal
Male
Respiratory Rate
Suction
Tomography, X-Ray Computed
Ventilation