High Frequency Jet Ventilation during Laryngeal Microsurgery : Effect of Inspiration Time and Frequency on the Gas Exchange.
10.4097/kjae.1993.26.1.131
- Author:
Sang Min LEE
1
;
Yong Seok OH
;
Kwang Hyun KIM
Author Information
1. Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
High Frequency Jet Ventilation;
Inspiration time;
Frequency;
Laryngeal microsurgery;
Gas exchange
- MeSH:
Anesthesia;
Anesthetics, Intravenous;
Blood Gas Analysis;
Catheters;
Fentanyl;
Heart;
Hemodynamics;
High-Frequency Jet Ventilation*;
Humans;
Masks;
Microsurgery*;
Oxygen;
Succinylcholine;
Thiopental;
Ventilation
- From:Korean Journal of Anesthesiology
1993;26(1):131-136
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
High frequency jet ventilation(HFJV) administered through a thin catheter instead of a standard endotracheal tube provides improved operation field during laryngeal microsurgery. In this study, effect of changes in inspiration time and frequency on gas exchange was observed. Sixty five patients(ASA class 1-2) underwent laryngeal microsurgery were divided into 3 groups according to inspiration time(50%, 40% and 30%) and then subdivided into 3 groups according to frequency(3.3 Hz, 2.5 Hz and 1.7 Hz). Driving pressure was same in all groups(2.4 kg, cm). Anesthesia was induced with thiopental sodium, fentanyl and succinylcholine with 100% oxygen mask ventilation and maintained with intermittent intravenous anesthetics during jet ventilation via 10 Fr. catheter with 100% oxygen. Jet cannular was located 1 cm proximal to carina. Arterial blood gas analysis and hemodynamic data(blood pressure and heart rate) were measured at 0 minute(just after catheter intubated and jet ventilation started), 5 minute, 10 minute and after then, every 10 minutes. There was significant change in PaCO; by varing inspiration time but, no significant change by frequency except in group of 3.3 Hz at inspiration time 40% and 30%. Number of patients who showed in excess of 45 mmHg of PaCO2 at 20 minute were 2 out of 19, 9 out of 23 and 9 out of 23 in inspiration time 50%, 40% and 30%, respectively. In summary, HFJV via thin catheter located 1 cm proximal to carina during laryngeal microsurgery can be done safely with inspiration time 50% under good operation field at driving pressure 2.4 kg/cm and frequency 3.3, 2.5 and 1.7 Hz.
