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Oxygen-Jet Ventilation During Tracheal Reconstruction in Patients with Tracheal Stenosis

Chairman, Department of Anesthesiology, American University of Beirut, Lebanon.

Abstract

Intermittent jets of O₂ at 60 psi via a smallbore (5 mm), cuffed tracheal tube have been used with relaxants to ventilate adult patients with tracheal stenosis undergoing surgical resection and reconstruction. Before resection, the tube was maintained proximal to the stenosis. During resection and reconstruction, the tube bypassed the resected gap into the distal tracheal segment. The technic allows the surgeon to mobilize, resect, and reconstruct the trachea around the small tube in an unhurried manner, and provides adequate ventilation and oxygenation throughout the procedure.

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Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999