Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery
<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Ventilation to the patient during microlaryngeal surgery confronts several problems. Jet ventilation with conventional ventilatory frequencies allows the use of...
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| Format: | Article |
| Language: | Spanish |
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Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2018-12-01
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| Series: | Revista Cubana de Anestesiología y Reanimación |
| Subjects: | |
| Online Access: | http://revanestesia.sld.cu/index.php/anestRean/article/view/413 |
| _version_ | 1819298493375709184 |
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| author | Omar Seguras Llanes |
| author_facet | Omar Seguras Llanes |
| author_sort | Omar Seguras Llanes |
| collection | DOAJ |
| description | <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Ventilation to the patient during microlaryngeal surgery confronts several problems. Jet ventilation with conventional ventilatory frequencies allows the use of small diameter endotracheal catheters to provide adequate oxygen volumes and provide better operating conditions than the traditional method.<br /> <strong>Objective:</strong> To evaluate the safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery in comparison to conventional ventilation.<br /> <strong>Methods: </strong>A comparative, single-blind, randomized and parallel study was performed. It was used a prototype of jet ventilation device with an exceptional use permit in humans (exceptional authorization No: 004/17 for conducting a pilot study, dated August 2, 2017, conferred by the CECMED). A study group of 45 patients (group E) was used and compared with a control group (group C) of 15 patients using the traditional ventilation method.<br /> <strong>Results:</strong> Oxygenation was higher in group E. Group C eventually required extubation, transitory apnea and reintubation, which impacted against the anatomophysiological integrity of patients, the operative field and teaching. A greater hemodynamic stability was evident among the subjects of group E. The intrapulmonary pressures produced by jet ventilation did not cause obvious injuries or clinical repercussions.<br /> <strong>Conclusions:</strong> Applying jet ventilation with conventional ventilatory frequencies was safe and effective. For the first time, experiences of using a jet ventilation method in the country were obtained. The group in which conventional ventilation was applied suffered more frequent and dangerous complications. It is necessary to assimilate jet ventilation´s technologies to raise the quality of medical attention in times of peace, war or disasters, in elective or emerging contexts as the challenge of a difficult airway.</span> |
| first_indexed | 2024-12-24T05:30:46Z |
| format | Article |
| id | doaj.art-b1ea9aa94b5645d89c6b3641dd6522da |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-24T05:30:46Z |
| publishDate | 2018-12-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-b1ea9aa94b5645d89c6b3641dd6522da2022-12-21T17:13:11ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182018-12-01172410Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgeryOmar Seguras Llanes0Editorial Ciencias Médicas. La Habana<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Ventilation to the patient during microlaryngeal surgery confronts several problems. Jet ventilation with conventional ventilatory frequencies allows the use of small diameter endotracheal catheters to provide adequate oxygen volumes and provide better operating conditions than the traditional method.<br /> <strong>Objective:</strong> To evaluate the safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery in comparison to conventional ventilation.<br /> <strong>Methods: </strong>A comparative, single-blind, randomized and parallel study was performed. It was used a prototype of jet ventilation device with an exceptional use permit in humans (exceptional authorization No: 004/17 for conducting a pilot study, dated August 2, 2017, conferred by the CECMED). A study group of 45 patients (group E) was used and compared with a control group (group C) of 15 patients using the traditional ventilation method.<br /> <strong>Results:</strong> Oxygenation was higher in group E. Group C eventually required extubation, transitory apnea and reintubation, which impacted against the anatomophysiological integrity of patients, the operative field and teaching. A greater hemodynamic stability was evident among the subjects of group E. The intrapulmonary pressures produced by jet ventilation did not cause obvious injuries or clinical repercussions.<br /> <strong>Conclusions:</strong> Applying jet ventilation with conventional ventilatory frequencies was safe and effective. For the first time, experiences of using a jet ventilation method in the country were obtained. The group in which conventional ventilation was applied suffered more frequent and dangerous complications. It is necessary to assimilate jet ventilation´s technologies to raise the quality of medical attention in times of peace, war or disasters, in elective or emerging contexts as the challenge of a difficult airway.</span>http://revanestesia.sld.cu/index.php/anestRean/article/view/413ventilación jetintubación traquealmicrocirugía laríngeavía respiratoria difícilcricotiroideotomía |
| spellingShingle | Omar Seguras Llanes Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery Revista Cubana de Anestesiología y Reanimación ventilación jet intubación traqueal microcirugía laríngea vía respiratoria difícil cricotiroideotomía |
| title | Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery |
| title_full | Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery |
| title_fullStr | Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery |
| title_full_unstemmed | Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery |
| title_short | Safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery |
| title_sort | safety and effectiveness of jet ventilation with conventional ventilatory frequencies for elective microlaryngeal surgery |
| topic | ventilación jet intubación traqueal microcirugía laríngea vía respiratoria difícil cricotiroideotomía |
| url | http://revanestesia.sld.cu/index.php/anestRean/article/view/413 |
| work_keys_str_mv | AT omarsegurasllanes safetyandeffectivenessofjetventilationwithconventionalventilatoryfrequenciesforelectivemicrolaryngealsurgery |