• J Clin Anesth · Sep 2016

    Case Reports

    Elective use of the Ventrain for upper airway obstruction during high-frequency jet ventilation.

    • Robert A Fearnley, Sheela Badiger, Richard J Oakley, and Imran Ahmad.
    • Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, UK, SE19RT. Electronic address: andy.fearnley@gstt.nhs.uk.
    • J Clin Anesth. 2016 Sep 1; 33: 233-5.

    AbstractThe safety of high pressure source ventilation (jet ventilation) is dependent upon upper airway patency to facilitate adequate passive expiration and prevent increasing intrathoracic pressure and its associated deleterious sequelae. Distortions in airway anatomy may make passive expiration inadequate or impossible in some patients. We report the elective use of the Ventrain device to provide ventilation in a clinical setting of upper airway obstruction in a patient with post radiation fibrosis that had previously prevented passive expiration during attempted high pressure source ventilation.Copyright © 2016 Elsevier Inc. All rights reserved.

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