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The use of mini-tracheostomy and high frequency jet ventilation in the management of acute airway obstruction

Published online by Cambridge University Press:  29 June 2007

S. J. Squires
Affiliation:
Haslar
M. C. Frampton*
Affiliation:
Haslar
*
Surgeon Commander M. C. Frampton, F.R.C.S., R.N., ENT Department, Royal Naval Hospital, Haslar, Gosport, Hampshire PQ12 2AA.

Abstract

A case is described in which upper airway obstruction was successfully treated using cri-cothyroidotomy in association with high frequency jet ventilation. This procedure allowed time for the patient to be transferred to the operating theatre for formal tracheostomy under optimal conditions. It is suggested that the Portex ‘Mini-trach’ kit, though primarily designed for tracheobronchial toilet, can be used to provide a satisfactory and safe airway during the resuscitation of an obstructed patient, particularly if jet ventilation is available.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1986

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References

Baker, H. W. and Wise, R. A. (1956) Tracheostomy. American Journal of Surgery, 92: 416422.Google Scholar
Brantigan, C. O. and Grow, J. B. (1976) Cricothyroidotomy: Elective use in respiratory problems requiring tracheotomy. The Journal of Thoracic and Cardiovascular Surgery, 71: 7281.CrossRefGoogle ScholarPubMed
Cawthorne, T. (1964) Instrument for Emergency Laryngotomy. Lancet, 1: 10811082.Google Scholar
Gallagher, T. J., Klain, M. M. and Carlon, G. C. (1982) Present status of high frequency ventilation. Critical care medicine, 10: 37.Google Scholar
Hewlett, A. B. and Ranger, D. (1961) Tracheostomy. Postgraduate Medical Journal, 37: 1821.CrossRefGoogle ScholarPubMed
Jackson, C. C. (1921) High tracheotomy and other errors the chief causes of chronic laryngeal stenosis. Surgery, Gynecology and Obstetrics, 32: 392398.Google Scholar
Matthews, H. W. and Hopkinson, R. B. (1984) Treatment of sputum retention by mini tracheotomy. British Journal of Surgery, 71: 147150.Google Scholar
Schecter, W. P. and Wilson, R. S. (1981) Management of upper airway obstruction in the intensive care unit. Critical care medicine, 9: 577579.Google Scholar