• Anaesth Intensive Care · Dec 2007

    Case Reports

    Supplemental jet ventilation in conscious patients following major oesophageal surgery.

    • T M Bingold, B Scheller, S Kloesel, H Wissing, B Zwissler, and C Byhahn.
    • Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, J. W. Goethe-University School of Medicine, Frankfurt, Germany.
    • Anaesth Intensive Care. 2007 Dec 1;35(6):968-70.

    AbstractIntensive care unit patients are at particular risk of respiratory failure after major abdominal surgery. Non-invasive ventilation or application of continuous positive airway pressure through a face mask may stabilise respiratory function and avoid the need for endotracheal re-intubation. However; there are various contraindications to non-invasive ventilation and/or tracheal re-intubation, such as recent oesophageal anastomosis, anastomotic leakage or tracheal stenting for tracheo-oesophageal fistula. A specific management strategy consisting of continuous intratracheal jet ventilation to support spontaneous respiratory function is described in two patients with contraindications to non-invasive ventilation or mask continuous positive airway pressure after major oesophageal surgery.

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