use of percutaneous transtracheal jet ventilation during difficult airway management

Document Type : Original Research

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Abstract

  Management of difficult airway is one of the challenges in anesthesia and use of Percutaneous Transtracheal Jet Ventilation (PTJV) and a fiber optic bronchoscope is as a life saving procedure in difficult airway management.   An 80-year high risk ASA CLASS IV patient with more than 80% upper airway obstruction due to a large tumor, scheduled for left radical tonsillectomy, was a candidate for tracheostomy before surgery. We performed the procedure by local Anesthesia, PTJV and intubated the patient by fiber optic bronchoscope after general anesthesia (GA). Therefore, tracheostomy obviated while surgery was done successfully. 

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