Evaluating the effectiveness of airway management using manual jet ventilation for tracheal resection and reconstruction surgery

  • Dinh Thi Thu Trang 108 Military Central Hospital
  • Nguyen Minh Ly 108 Military Central Hospital
  • Cong Quyet Thang Huu Nghi Hospital
  • Tong Xuan Hung 108 Military Central Hospital

Main Article Content

Keywords

Stenosis tracheal, tracheal resection and reconstruction, manual jet ventilation

Abstract

Summary


Objective: To evaluate the effectiveness of airway management using manual jet ventilation (MJV) in tracheal resection and reconstruction surgery (TRR). Subject and method: From September in 2015 to Jannuary 2019 in the Department of Anesthesiology of 108 Military Central Hospital and Viet Duc Hospital, 41 patients ranging from 15 to 75 years old, ASA II, III, IV underwent tracheal resection and reconstruction using MJV. On the operation, a 12Fr catheter was placed into the tracheal with a distance of 3cm from the carina. MJV based on a high-pressure gas, with high frequency (from 100 - 150 breaths/min), ventilation pressure from 0 - 3.5bar (0 - 51psi, not exceed 58psi), FiO2 100%. Result: MJV was used with an average duration of 31.9 ± 9.9 minutes. The hemodynamic was stable during operation, increased visualization of the operative field. All patients underwent safety during tracheal surgery. Arterial blood gas after 15 minutes MJV (mean ± SD): pH was 7.33 ± 0.99, PaO2 was 308.8 ± 130.0, PaCO2 was 45.6 ± 10.2, HCO3 was 28.7 ± 7.8. Respectively after 30 minutes MJV: 7.28 ± 0.06, 295.6 ± 124.0, 52.15 ± 11.1, 30.6 ± 6.4, 15 minutes after finishing MJV: 7.42 ± 0.06; 273.9 ± 78.0, 37.8 ± 5.6, 28.5 ± 5.8. PaCO2 levels increased significantly after 30 mins of MJV, but stayed normal after finishing MJV 15 mins. After surgery, 31 patients were extubated in the operating room, 10 patients were extubated in ICU. Conclusion: MJV proved to be effective in ensuring safety during tracheal surgery.


Keywords: Stenosis tracheal, tracheal resection and reconstruction, manual jet ventilation.

Article Details

References

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Published
Aug 26, 2020
Issue
Volume 15 - No 8/2020
Section
Articles
How to Cite
Thi Thu TrangD., Minh LyN., Quyet ThangC., & Xuan HungT. (2020). Evaluating the effectiveness of airway management using manual jet ventilation for tracheal resection and reconstruction surgery. Tạp Chí Y Dược lâm sàng 108, 15(8). Retrieved from https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/677