Transtracheal jet ventilation explained

Transtracheal jet ventilation refers to a type of high-frequency ventilation, low tidal volume ventilation provided via a laryngeal catheter by specialized ventilators that are usually only available in the operating room or intensive care unit. This procedure is occasionally employed in the operating room when a difficult airway is anticipated, such as Treacher Collins syndrome, Robin sequence, head and neck surgery with supraglottic or glottic obstruction.^{[1] [2] [3] [4]} It is NOT recommended in emergencies if a person cannot be intubated or ventilated by other means.^[5]

References

1. Ravussin P, Bayer-Berger M, Monnier P, Savary M, Freeman J . Percutaneous transtracheal ventilation for laser endoscopic procedures in infants and small children with laryngeal obstruction: report of two cases. . Can J Anaesth . 1987 . 34 . 1 . 83–6 . 3829291 . 10.1007/BF03007693 . free .
2. Benumof JL, Scheller MS . The importance of transtracheal jet ventilation in the management of the difficult airway. . Anesthesiology . 1989 . 71 . 5 . 769–78 . 2683873 . 10.1097/00000542-198911000-00023. 46124177 . free .
3. Weymuller EA, Pavlin EG, Paugh D, Cummings CW . Management of difficult airway problems with percutaneous transtracheal ventilation . Ann Otol Rhinol Laryngol . 1987 . 96 . 1 Pt 1 . 34–7 . 3813383 . 10.1177/000348948709600108. 7469272 .
4. Boyce JR, Peters GE, Carroll WR, Magnuson JS, McCrory A, Boudreaux AM . Preemptive vessel dilator cricothyrotomy aids in the management of upper airway obstruction. . Can J Anaesth . 2005 . 52 . 7 . 765–9 . 16103392 . 10.1007/BF03016567 . free .
5. Duggan. LV. Ballantyne Scott. B. Law. JA. Morris. IR. Murphy. MF. Griesdale. DE. Transtracheal jet ventilation in the 'can't intubate can't oxygenate' emergency: a systematic review. British Journal of Anaesthesia. September 2016. 117. Suppl 1 . i28–i38. 27566790. 10.1093/bja/aew192. free.