Summary
Percutaneous transtracheal ventilation with intermittent jets of oxygen under high pressure has been used for approximately five years. This paper briefly reviews published reports on the use of this technique for resuscitation and during anaesthesia.
Complications occurring in the reports reviewed are tabulated. The complications occurring in a series of 80 patients (52 elective prior to anaesthesia and 28 for acute respiratory distress) at the Pittsburgh Eye and Ear Hospital are documented. This includes three detailed case reports.
No deaths and few serious complications have so far been reported, particularly with the elective use of transtracheal ventilation.
This technique has established itself as an important adjunct in life support. When used in properly selected cases, its continued use appears justified.
Résumé
La technique de ventilation transtrachéale percutanée a été utilisée avec succès pour fins de réanimation et d’anesthésie depuis environ cinq ans.
Les auteurs qui ont revu la littérature n’ont pas relevé de décès lié à l’usage de cette méthode et ont noté la très basse incidence de complications graves rapportées, en particulier lorsque la technique était utilisée de façon élective.
L’utilité de Cette technique en réanimation est bien établie. Dans certains cas bien définis son usage électif semble amplement justifié.
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Smith, R.B., Schaer, W.B. & Pfaeffle, H. Percutaneous transtracheal ventilation for anaesthesia and resuscitation: A review and report of complications. Canad. Anaesth. Soc. J. 22, 607–612 (1975). https://doi.org/10.1007/BF03013413
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DOI: https://doi.org/10.1007/BF03013413