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Ventilation Strategies Including High Frequency Jet Ventilation

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Out of Operating Room Anesthesia

Abstract

The number of diagnostic and therapeutic interventions performed outside of the operating room requiring anesthesia services has expanded several fold over the last several decades. With advances in medical research, new technology, and the increasing survival of complicated and elderly patients the role of the anesthesiologist in providing non-operating room anesthesia will continue to expand. Recent studies and advances in non-traditional ventilation techniques including lung-protective ventilation, jet ventilation and non-invasive ventilation have a promising outlook for current and future utilization in non-operating room anesthesia. It will continue to be the responsibility of the anesthesiologist to provide the same standard of care that a patient would receive in the operating room, including the use of capnography and assessment of adequate ventilation, to ensure safe outcomes in a higher risk patient population in the non-operating room environment.

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References

  1. Shook DC, Gross W. Offsite anesthesiology in the cardiac catheterization lab. Curr Opin Anaesthesiol. 2007;20(4):352–8.

    Article  PubMed  Google Scholar 

  2. Raiten J, Elkassabany N, Gao W, Mandel JE. Medical intelligence article: novel uses of high frequency ventilation outside the operating room. Anesth Analg. 2011;112(5):1110–3.

    Article  PubMed  Google Scholar 

  3. Feldman JM, Kalli I. Equipment and environmental issues for nonoperating room anesthesia. Curr Opin Anaesthesiol. 2006;19(4):450–2.

    Article  PubMed  Google Scholar 

  4. Bender SP, Paganelli WC, Gerety LP, Tharp WG, Shanks AM, Housey M, et al. Intraoperative lung-protective ventilation trends and practice patterns: a report from the multicenter perioperative outcomes group. Anesth Analg. 2015;121(5):1231–9.

    Article  PubMed  Google Scholar 

  5. Raiten J, Elkassabany N, Mandel JE. The use of high-frequency jet ventilation for out of operating room anesthesia. Curr Opin Anaesthesiol. 2012;25(4):482–5.

    Article  PubMed  Google Scholar 

  6. Kilpatrick B, Slinger P. Lung protective strategies in anaesthesia. Br J Anaesth. 2010;105 Suppl 1:i108–16.

    Article  PubMed  Google Scholar 

  7. Sutherasan Y, Vargas M, Pelosi P. Protective mechanical ventilation in the non-injured lung: review and meta-analysis. Crit Care. 2014;18(2):211.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Chan KP, Stewart TE, Mehta S. High-frequency oscillatory ventilation for adult patients with ARDS. Chest. 2007;131(6):1907–16.

    Article  PubMed  Google Scholar 

  9. Konduri GG, Kim UO. Advances in the diagnosis and management of persistent pulmonary hypertension of the newborn. Pediatr Clin North Am. 2009;56(3):579–600, Table of Contents.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Evans E, Biro P, Bedforth N. Jet ventilation. Contin Educ Anaesth Crit Care Pain. 2007;7(1):2–5.

    Article  Google Scholar 

  11. Goode Jr JS, Taylor RL, Buffington CW, Klain MM, Schwartzman D. High-frequency jet ventilation: utility in posterior left atrial catheter ablation. Heart Rhythm. 2006;3(1):13–9.

    Article  PubMed  Google Scholar 

  12. Hutchinson MD, Garcia FC, Mandel JE, Elkassabany N, Zado ES, Riley MP, et al. Efforts to enhance catheter stability improve atrial fibrillation ablation outcome. Heart Rhythm. 2013;10(3):347–53.

    Article  PubMed  Google Scholar 

  13. Elkassabany N, Garcia F, Tschabrunn C, Raiten J, Gao W, Chaichana K, et al. Anesthetic management of patients undergoing pulmonary vein isolation for treatment of atrial fibrillation using high-frequency jet ventilation. J Cardiothorac Vasc Anesth. 2012;26(3):433–8.

    Article  PubMed  Google Scholar 

  14. Di Biase L, Conti S, Mohanty P, Bai R, Sanchez J, Walton D, et al. General anesthesia reduces the prevalence of pulmonary vein reconnection during repeat ablation when compared with conscious sedation: results from a randomized study. Heart Rhythm. 2011;8(3):368–72.

    Article  PubMed  Google Scholar 

  15. Abderhalden S, Biro P, Hechelhammer L, Pfiffner R, Pfammatter T. CT-guided navigation of percutaneous hepatic and renal radiofrequency ablation under high-frequency jet ventilation: feasibility study. J Vasc Interv Radiol. 2011;22(9):1275–8.

    Article  PubMed  Google Scholar 

  16. Warner MA, Warner ME, Buck CF, Segura JW. Clinical efficacy of high frequency jet ventilation during extracorporeal shock wave lithotripsy of renal and ureteral calculi: a comparison with conventional mechanical ventilation. J Urol. 1988;139(3):486–7.

    Article  CAS  PubMed  Google Scholar 

  17. Mucksavage P, Mayer WA, Mandel JE, Van Arsdalen KN. High-frequency jet ventilation is beneficial during shock wave lithotripsy utilizing a newer unit with a narrower focal zone. Can Urol Assoc J. 2010;4(5):333–5.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Kodali BS. Capnography outside the operating rooms. Anesthesiology. 2013;118(1):192–201.

    Article  PubMed  Google Scholar 

  19. Metzner J, Domino KB. Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider. Curr Opin Anaesthesiol. 2010;23(4):523–31.

    Article  PubMed  Google Scholar 

  20. Sbrana F, Ripoli A, Formichi B. Safety and utility of noninvasive ventilation during deep sedation for catheter ablation of atrial fibrillation. J Cardiothorac Vasc Anesth. 2014;28(1):e6–8.

    Article  PubMed  Google Scholar 

  21. Guarracino F, Cabrini L, Baldassarri R, Cariello C, Covello RD, Landoni G, et al. Non-invasive ventilation-aided transoesophageal echocardiography in high-risk patients: a pilot study. Eur J Echocardiogr. 2010;11(6):554–6.

    Article  PubMed  Google Scholar 

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Correspondence to Michael Duggan MD .

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Bailey, A., Duggan, M. (2017). Ventilation Strategies Including High Frequency Jet Ventilation. In: Goudra, B.G., Singh, P.M. (eds) Out of Operating Room Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-39150-2_15

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  • DOI: https://doi.org/10.1007/978-3-319-39150-2_15

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-39150-2

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