View in EDS HTML Full Text PDF Full Text

Low Pressure Low Frequency Jet Ventilation: Techniques, Safety and Complications.

Saved in:
Bibliographic Details
Title: Low Pressure Low Frequency Jet Ventilation: Techniques, Safety and Complications.
Authors: Myint, Calvin W., Teng, Stephanie E., Butler, Jennifer J., Griffeth, Jacline V., Fritz, Mark A., Meiler, Steffen E., Postma, Gregory N.
Source: Annals of Otology, Rhinology & Laryngology. Dec2022, Vol. 131 Issue 12, p1346-1352. 7p.
Subjects: Voice disorder surgery, Obesity, Operative otolaryngology, Academic medical centers, Airway (Anatomy), Microsurgery, Conferences & conventions, Retrospective studies, Acquisition of data, Fisher exact test, Oxygen saturation, Tertiary care, Health status indicators, T-test (Statistics), Respiratory therapy, Medical records, Chi-squared test, Laryngeal diseases, Descriptive statistics, Resuscitation, Trachea intubation
Geographic Terms: Georgia, Texas
Abstract: Objective: Manual jet ventilation is a specialized oxygenation and ventilation technique that is not available in all facilities due to lack of technical familiarity and fear of complications. The objective is to review our center's 15 year experience with low pressure low frequency jet ventilation (LPLFJV). Methods: Retrospective review of procedures utilizing LPLFJV from 2005 to 2019 were performed collecting patient demographic, surgery type and complications. Fisher exact test, Chi square, and t -test were used to determine statistical significance. Results: Four hundred fifty-seven patients underwent a total of 891 microlaryngeal surgeries—279 cases for voice disorders, 179 for lesions, and 433 for airway stenosis. The peak jet pressure for all cases did not exceed 20 psi and average peak pressure for the last 100 procedures in this case series was 14.9 ± 4.6 psi. The average lowest oxygen saturation for all cases was 95% ± 0.6%. Brief intubation was required in 154 cases (17%). Surgical duration was significantly longer for cases requiring intubation P <.001. The need for intubation was not associated with smoking or cardiopulmonary disease, but was strongly associated with body mass index (BMI). Intubation rates were 7% for normal weight (BMI < 25, N = 216), 13% for overweight (BMI 25-30, N = 282), 24% for obese (BMI 30-40, N = 342), and 37% for morbidly obese (BMI > 40, N = 52) patients. Three patients developed respiratory distress in the recovery unit and 2 patients required intubation. Conclusion: LPLFJV assisted by intermittent endotracheal intubation is an exceedingly safe and effective intraoperative oxygenation and ventilationmodality for a broad variety of laryngeal procedure. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 159325340
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Low Pressure Low Frequency Jet Ventilation: Techniques, Safety and Complications.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Myint%2C+Calvin+W%2E%22&quot;&gt;Myint, Calvin W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Teng%2C+Stephanie+E%2E%22&quot;&gt;Teng, Stephanie E.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Butler%2C+Jennifer+J%2E%22&quot;&gt;Butler, Jennifer J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Griffeth%2C+Jacline+V%2E%22&quot;&gt;Griffeth, Jacline V.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fritz%2C+Mark+A%2E%22&quot;&gt;Fritz, Mark A.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Meiler%2C+Steffen+E%2E%22&quot;&gt;Meiler, Steffen E.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Postma%2C+Gregory+N%2E%22&quot;&gt;Postma, Gregory N.&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22&quot;&gt;Annals of Otology, Rhinology &amp; Laryngology&lt;/searchLink&gt;. Dec2022, Vol. 131 Issue 12, p1346-1352. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Voice+disorder+surgery%22&quot;&gt;Voice disorder surgery&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Obesity%22&quot;&gt;Obesity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Operative+otolaryngology%22&quot;&gt;Operative otolaryngology&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Academic+medical+centers%22&quot;&gt;Academic medical centers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Airway+%28Anatomy%29%22&quot;&gt;Airway (Anatomy)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Microsurgery%22&quot;&gt;Microsurgery&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Conferences+%26+conventions%22&quot;&gt;Conferences &amp; conventions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Retrospective+studies%22&quot;&gt;Retrospective studies&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Acquisition+of+data%22&quot;&gt;Acquisition of data&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Fisher+exact+test%22&quot;&gt;Fisher exact test&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Oxygen+saturation%22&quot;&gt;Oxygen saturation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Tertiary+care%22&quot;&gt;Tertiary care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+status+indicators%22&quot;&gt;Health status indicators&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22T-test+%28Statistics%29%22&quot;&gt;T-test (Statistics)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Respiratory+therapy%22&quot;&gt;Respiratory therapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+records%22&quot;&gt;Medical records&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Chi-squared+test%22&quot;&gt;Chi-squared test&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Laryngeal+diseases%22&quot;&gt;Laryngeal diseases&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Resuscitation%22&quot;&gt;Resuscitation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Trachea+intubation%22&quot;&gt;Trachea intubation&lt;/searchLink&gt;
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Georgia%22&quot;&gt;Georgia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Texas%22&quot;&gt;Texas&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Manual jet ventilation is a specialized oxygenation and ventilation technique that is not available in all facilities due to lack of technical familiarity and fear of complications. The objective is to review our center&#39;s 15 year experience with low pressure low frequency jet ventilation (LPLFJV). Methods: Retrospective review of procedures utilizing LPLFJV from 2005 to 2019 were performed collecting patient demographic, surgery type and complications. Fisher exact test, Chi square, and t -test were used to determine statistical significance. Results: Four hundred fifty-seven patients underwent a total of 891 microlaryngeal surgeries—279 cases for voice disorders, 179 for lesions, and 433 for airway stenosis. The peak jet pressure for all cases did not exceed 20 psi and average peak pressure for the last 100 procedures in this case series was 14.9 &#177; 4.6 psi. The average lowest oxygen saturation for all cases was 95% &#177; 0.6%. Brief intubation was required in 154 cases (17%). Surgical duration was significantly longer for cases requiring intubation P &lt;.001. The need for intubation was not associated with smoking or cardiopulmonary disease, but was strongly associated with body mass index (BMI). Intubation rates were 7% for normal weight (BMI &lt; 25, N = 216), 13% for overweight (BMI 25-30, N = 282), 24% for obese (BMI 30-40, N = 342), and 37% for morbidly obese (BMI &gt; 40, N = 52) patients. Three patients developed respiratory distress in the recovery unit and 2 patients required intubation. Conclusion: LPLFJV assisted by intermittent endotracheal intubation is an exceedingly safe and effective intraoperative oxygenation and ventilationmodality for a broad variety of laryngeal procedure. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Annals of Otology, Rhinology &amp; Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=159325340
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/00034894211072630
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1346
    Subjects:
      – SubjectFull: Voice disorder surgery
        Type: general
      – SubjectFull: Obesity
        Type: general
      – SubjectFull: Operative otolaryngology
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Airway (Anatomy)
        Type: general
      – SubjectFull: Microsurgery
        Type: general
      – SubjectFull: Conferences & conventions
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Oxygen saturation
        Type: general
      – SubjectFull: Tertiary care
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Respiratory therapy
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Laryngeal diseases
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Resuscitation
        Type: general
      – SubjectFull: Trachea intubation
        Type: general
      – SubjectFull: Georgia
        Type: general
      – SubjectFull: Texas
        Type: general
    Titles:
      – TitleFull: Low Pressure Low Frequency Jet Ventilation: Techniques, Safety and Complications.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Myint, Calvin W.
      – PersonEntity:
          Name:
            NameFull: Teng, Stephanie E.
      – PersonEntity:
          Name:
            NameFull: Butler, Jennifer J.
      – PersonEntity:
          Name:
            NameFull: Griffeth, Jacline V.
      – PersonEntity:
          Name:
            NameFull: Fritz, Mark A.
      – PersonEntity:
          Name:
            NameFull: Meiler, Steffen E.
      – PersonEntity:
          Name:
            NameFull: Postma, Gregory N.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: Dec2022
              Type: published
              Y: 2022
          Identifiers:
            – Type: issn-print
              Value: 00034894
          Numbering:
            – Type: volume
              Value: 131
            – Type: issue
              Value: 12
          Titles:
            – TitleFull: Annals of Otology, Rhinology & Laryngology
              Type: main
ResultId 1