Tags

Type your tag names separated by a space and hit enter

Percutaneous transtracheal jet ventilation as a guide to tracheal intubation in severe upper airway obstruction from supraglottic oedema.
Br J Anaesth. 2005 May; 94(5):683-6.BJ

Abstract

We report two cases of severe upper airway obstruction caused by supraglottic oedema secondary to adult epiglottitis and Ludwig's angina. In the former case, attempts to intubate with a direct laryngoscope failed but were successful once percutaneous transtracheal jet ventilation (PTJV) had been instituted. In the case with Ludwig's angina, PTJV was employed as a pre-emptive measure and the subsequent tracheal intubation with a direct laryngoscope was performed with unexpected ease. In both cases recognition of the glottic aperture was made feasible with PTJV by virtue of the fact that the high intra-tracheal pressure from PTJV appeared to lift up and open the glottis. The escape of gas under high pressure caused the oedematous edges of the glottis to flutter, which facilitated the identification of the glottic aperture. We believe that the PTJV should be considered in the emergency management of severe upper airway obstruction when this involves supraglottic oedema.

Authors+Show Affiliations

Magill Department of Anaesthesia, Queen Mary's Hospital, Sidcup DA14 6LT, UK. chandra.chandradeva@qms.nhs.ukNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15708873

Citation

Chandradeva, K, et al. "Percutaneous Transtracheal Jet Ventilation as a Guide to Tracheal Intubation in Severe Upper Airway Obstruction From Supraglottic Oedema." British Journal of Anaesthesia, vol. 94, no. 5, 2005, pp. 683-6.
Chandradeva K, Palin C, Ghosh SM, et al. Percutaneous transtracheal jet ventilation as a guide to tracheal intubation in severe upper airway obstruction from supraglottic oedema. Br J Anaesth. 2005;94(5):683-6.
Chandradeva, K., Palin, C., Ghosh, S. M., & Pinches, S. C. (2005). Percutaneous transtracheal jet ventilation as a guide to tracheal intubation in severe upper airway obstruction from supraglottic oedema. British Journal of Anaesthesia, 94(5), 683-6.
Chandradeva K, et al. Percutaneous Transtracheal Jet Ventilation as a Guide to Tracheal Intubation in Severe Upper Airway Obstruction From Supraglottic Oedema. Br J Anaesth. 2005;94(5):683-6. PubMed PMID: 15708873.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous transtracheal jet ventilation as a guide to tracheal intubation in severe upper airway obstruction from supraglottic oedema. AU - Chandradeva,K, AU - Palin,C, AU - Ghosh,S M, AU - Pinches,S C, Y1 - 2005/02/11/ PY - 2005/2/15/pubmed PY - 2005/5/27/medline PY - 2005/2/15/entrez SP - 683 EP - 6 JF - British journal of anaesthesia JO - Br J Anaesth VL - 94 IS - 5 N2 - We report two cases of severe upper airway obstruction caused by supraglottic oedema secondary to adult epiglottitis and Ludwig's angina. In the former case, attempts to intubate with a direct laryngoscope failed but were successful once percutaneous transtracheal jet ventilation (PTJV) had been instituted. In the case with Ludwig's angina, PTJV was employed as a pre-emptive measure and the subsequent tracheal intubation with a direct laryngoscope was performed with unexpected ease. In both cases recognition of the glottic aperture was made feasible with PTJV by virtue of the fact that the high intra-tracheal pressure from PTJV appeared to lift up and open the glottis. The escape of gas under high pressure caused the oedematous edges of the glottis to flutter, which facilitated the identification of the glottic aperture. We believe that the PTJV should be considered in the emergency management of severe upper airway obstruction when this involves supraglottic oedema. SN - 0007-0912 UR - https://wwww.unboundmedicine.com/medline/citation/15708873/Percutaneous_transtracheal_jet_ventilation_as_a_guide_to_tracheal_intubation_in_severe_upper_airway_obstruction_from_supraglottic_oedema_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0007-0912(17)35641-6 DB - PRIME DP - Unbound Medicine ER -