High frequency jet ventilation applied via a catheter for Fantoni’s tracheostomy

Authors: Čandík Peter;  Hermely Albert;  Török Pavol;  Sopko Imrich;  Sýkora René
Authors‘ workplace: KAIM VÚSCH, a. s., LF UPJŠ Košice, Slovenská republika
Published in: Anest. intenziv. Med., 21, 2010, č. 6, s. 324-330
Category: Intensive Care Medicine - Original Paper


The main goal of this work was trying to replace conventional ventilation using an original, small internal diameter, long-cuffed endotracheal (ET) tube with a high flow resistance, by high-frequency jet ventilation applied via a special catheter (C-HFJV).

The authors describe the use of high-frequency jet ventilation applied via a catheter for a translaryngeal (retrograde) tracheostomy by Fantoni (TLT).

Type of study:
Prospective observational study.

Department of Anaesthesia and Intensive Medicine.

Materials and methods:
The authors were using the following equipment for TLT: a flexible bronchoscope, a HFJV ventilator witch a catheter and the Translaryngeal Tracheostomy Kit (Malincrodt Medical GmbH, Hennef, Germany). Sufficient ventilation for performing the TLT was achieved by high-frequency jet ventilation delivered through a 2-way prototype ventilation-catheter (C-HFJV) in a group of 10 patients.

There was no significant negative impact on the basic vital signs in any of the cases. A comparison of pH, SpO2, PaO2 and PaCO2 changes before and after the application of C-HFJV did not show a statistically significant difference. PEEPi generated during C-HFJV did not exceed 4–5 cm H2O, whereas during conventional ventilation via the original ET tube it was fluctuating between 15–17 cm H2O.

The authors conclude that this modification of the Fantoni tracheostomy method improves the ventilation parameters and shortens the procedure.

translaryngeal tracheostomy – HFJV via a catheter


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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