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Chapter 22 - High-Frequency Ventilation

from Section 1 - Respiratory, Airway, and Ventilator Management

Published online by Cambridge University Press:  03 August 2023

By
Ryan J. Gunselman  and
Donald M. Voltz
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A famous vocalist presents to the operating room for removal of a vocal cord lesion. The surgeon is concerned about further damage to this patient’s vocal cords and requests that the patient not be intubated. Given the shared nature of the airway and assuming the patient is otherwise healthy, how would you manage the anesthesia and the airway for this case? One suggestion by the surgeon is to use high-frequency jet ventilation. How is this managed and what are your concerns with this form of ventilation? Are there any patients for whom this type of ventilation is not appropriate? What additional monitoring is required to perform this type of ventilation?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 81 - 84
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, p. 1062.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, p. 1345.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, p. 1332.Google Scholar
Yao, FSF, Fontes, ML, Malhotra, V. Yao & Artusio’s Anesthesiology: Problem-Oriented Patient Management, 6th ed. Philadelphia: Lippincott Williams & Wilkins, 2008, pp. 77–80.Google Scholar

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