Medicinski pregled
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High Frequency Jet Ventilation is one in a group of alternative ventilatory techniques characterized by the application of small tidal volumes delivered at higher than physiological rates, followed by the passive expiration. There are two groups of indications: first, High Frequency Jet ventilation was used as a special ventilation mode during diagnostic or surgical procedures in patients with airway pathology; and second, High Frequency Jet Ventilation was employed as a respiratory support technique to improve gas exchange during severe pulmonary failure in infants, children and adults. Diagnostic or surgery laryngoscopy requires a method that can give good exposure of the larynx, continuing control of the airway patency and immobility of the vocal cords. ⋯ Jet ventilation via a catheter placed through the cricothyroid membrane, is an easy and safe way to ventilate patients with an abnormality of the upper airway, such as in cases of head and neck cancer. Inappropriate airway pressure monitoring and/or an insufficient expiratory airflow enhances the risk of pulmonary barotrauma. Despite a large body of published evidence describing its benefits as an alternative ventilatory approach in anaesthesia and intensive care medicine, its application has not gained widespread acceptance and is restricted to specialized centres only.
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Acute poisonings with corrosive substances make 15-20% of all acute poisonings in our country. They are on the second place, after drug poisonings, which are far more often. After the ingestion of corrosives, corrosive lesions of the gastrointestinal tract appear. ⋯ It is important to identify the kind and quantity of ingested substance, as well as to withhold all oral feedings, and to assess fluid and electrolyte balance carefully and to watch for development of complications. This paper presents the complete treatment protocol of ENT Clinic, Clinical Center of Vojvodina, Serbia. This protocol has been in use since the year 2000 and the results are excellent.