Abstract
Needle cricothyrotomy is a safe, relatively easy procedure and has been described to enable pulmonary ventilation for patients in both elective and emergency situations. Conventional IV cannulae are short, thinwalled, and easily kinked and, therefore, do not provide a secure system to jet oxygen into the trachea. The vessel dilators of most 7– 9 French introducer kits are firm, pliable, resist kinking, and can be passed easily into the tracheal lumen. We describe our experience with the use of vessel dilator cricothyrotomy to oxygenate and ventilate the lungs of patients in emergency and elective situations.
Résumé
La cricothyrotomie à l’aiguille est une technique súre et relativement facile mais les catheters IV souvent utilisés ont une paroi mince qui peut s’affaisser, empêchant l’utilisation d’un système à injection d’oxygène. Les dilatateurs vasculaires des ensembles d’introducteur 7–9 French sont souples mais résistants et on peut les glisser facilement dans la trachée. Nous les avons utilisés pour l’oxygénation et la ventilation pulmonaire de nombreux patients, y compris en situations d’urgence.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
McIntyre JWR. The difficult tracheal intubation. Can J Anaesth 1987; 34: 204–13.
Jacoby JJ, Hamelberg W, Ziegler CH el al. Transtracheal resuscitation. JAMA 1956; 162: 625–8.
Johnson B. Discussion on anaesthesia in endoscopy. J Laryngol Otol 1939; 54: 412–8.
Bonica JJ. Transtracheal anesthesia for endotracheal intubation. Anesthesiology 1949; 10: 736–8.
Layman PR. Bypassing a problem airway. Anaesthesia 1983; 38: 478–80.
Smith RB, Myers EN, Sherman H. Transtracheal ventilation in paediatric patients. Br J Anaesth 1974; 46: 313–4.
Spoerel WE, Narayanan PS, Singh NP. Transtracheal ventilation. Br J Anaesth 1971; 43: 932–9.
Smith RB. Transtracheal ventilation during anesthesia. Anesth Analg 1974; 53; 226–8.
Jacobs HB. Needle-catheter brings oxygen to the trachea. JAMA 1972; 222: 1231–3.
Scuderi PE, McLeskey CH, Comer PB. Emergency percutaneous transtracheal ventilation during anesthesia using readily available equipment. Anesth Analg 1982; 61: 867–70.
Fisher JA. A “last ditch” airway. Can Anaesth Soc J 1979; 26: 225–30.
Wagner DJ, Coombs DW, Doyle SC. Percutaneous transtracheal ventilation for emergency dental appliance removal. Anesthesiology 1985; 62: 664–6.
DeLisser EA, Muravchick S. Emergency transtracheal ventilation. Anesthesiology 1981; 55: 606–7.
Anderson JE. In Grant’s Atlas of Anatomy. Williams and Wilkins: Baltimore/London, 8th ed. pp. 9–65.
Sanders RD. Two ventilating attachments for bronchoscopes. Del Med J 1962; 39: 170–92.
Patel KF, Hicks JN. Prevention of fire hazards associated with use of carbon dioxide lasers. Anesth Analg 1981; 60: 885–8.
Donlon JV. Anesthesia for eye ear nose and throat.In Anesthesia, Miller RD (Ed.). Churchill Livingstone: New York/Edinburgh/London/Melbourne, 2nd ed., 1976, pp. 1876.
Oliverior R Jr, Ruder CB, Fermon C et al. Pneumothorax secondary to Ball-valve obstruction during jet ventilation. Anesthesiology 1979; 51: 255–56.
Ravussin P, Freeman J. A new transtracheal catheter for ventilation and resuscitation. Can Anaesth Soc J 1985; 32: 60–4.
Schelden CH, Pudenz RH, Freshwater DB et al. A new method for tracheotomy. J Neurosurg 1955; 12: 428–31.
Gildar JS. A simple system for transtracheal ventilation. Anesthesiology 1983; 58: 106.
Slutsky AS, Watson J, Leith DE et al. Tracheal insufflation of O2 (TRIO) at low flow rates sustains life for several hours. Anesthesiology 1985; 63: 278–86.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Boyce, J.R., Peters, G. Vessel dilator cricothyrotomy for transtracheal jet ventilation. Can J Anaesth 36, 350–353 (1989). https://doi.org/10.1007/BF03010780
Issue Date:
DOI: https://doi.org/10.1007/BF03010780