Experience with catheter jet ventilation as an optimal ventilation technique during
the critical phase of resection in the region of the central tracheobronchial system
(bifurcational resections, extended resections in the bifurcational region) in 9 patients
is described. For this technique we use a simple and cheap system consisting of a
pressure-reduction valve, an interruption valve manually worked with a pistol handle,
2 manometers and a thin plastic catheter as a jet. In 8 cases the anesthesiologic
management during the jet ventilation phase, ranging between 35 and 150 minutes, was
without any problem; the one complication and the possible way of solving similar
accidents are discussed. In comparison with the conventional technique, catheter jet
ventilation gives the surgeon the possibility of complete freedom of action during
suturing of the airway anastomosis.
Carinal resection - Technique of ventilation - Catheter jet ventilation
