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Tracheotomy and Airway pp 187–204Cite as

Anesthesiological and Respiratory Specialties of Percutaneous Dilatational Tracheotomies

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Abstract

The ideal form of ventilation during PDT should allow oxygenation and ventilation of the intensive care patient on the one hand and ensure permanent endoscopic control of PDT on the other. Various ventilation methods and anesthesia options for PDT are described in detail in this chapter. The usual endoscopy procedures as well as the special feature of lumen reduction in endotracheal tubes through flexible endoscopes, Intermittent Positive Pressure Ventilation (IPPV) and Superimposed High-frequency Jet Ventilation (SHFJV®) are taken into account. The convenient possibilities of the SHFJV are described in detail with regard to their mode of operation, the required equipment technology, monitoring and procedural instructions. The basic physics and fluid mechanical phenomena of the SHFJV are presented in a practice-oriented way. Information on human and technical resources for PDT, also from the point of view of medical law, is given.

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References

  1. Vargas M, Sutherasan Y, Antonelli M, et al. Tracheostomy procedures in the intensive care unit: an international survey. Crit Care. 2015;19(1):291.

    Article  Google Scholar 

  2. ANZICS. Percutaneous Dilatational Tracheostomy Consensus Statement. 2014. https://www.clinicalguidelines.gov.au/portal/2480/anzics-percutaneous-dilatational-tracheostomy-consensus-statement. Latest accessed 19 Nov 2019.

  3. Reilly PM, Anderson HL 3rd, Sing RF, Schwab CW, Bartlett RH. Occult hypercarbia. An unrecognized phenomenon during percutaneous endoscopic tracheostomy. Chest. 1995;107(6):1760–3.

    Article  CAS  Google Scholar 

  4. Karagiannidis C, Merten ML, Heunks L, et al. Respiratory acidosis during bronchoscopy-guided percutaneous dilatational tracheostomy: impact of ventilator settings and endotracheal tube size. BMC Anesthesiol. 2019;19(1):147.

    Article  Google Scholar 

  5. Fikkers BG, van Veen JA, Kooloos JG, Pickkers P, van den Hoogen FJ, Hillen B, van der Hoeven JG. Emphysema and pneumothorax after percutaneous tracheostomy: case reports and an anatomic study. Chest. 2004;125(5):1805–14.

    Article  Google Scholar 

  6. Nowak A, Klemm E. Percutaneous dilatational tracheotomy using the tracheotomy endoscope. Laryngoscope. 2011;121:1490–4.

    Article  Google Scholar 

  7. Sütterlin R, LoMauro A, Gandolfi S, et al. Influence of tracheal obstruction on the efficacy of superimposed high-frequency jet ventilation and single-frequency jet ventilation. Anesthesiology. 2015;123(4):799–809.

    Article  Google Scholar 

  8. Cook TM, Alexander R. Major complications during anesthesia for elective laryngeal surgery in the UK: a national survey of the use of high-pressure source ventilation. Br J Anaesth. 2008;101(2):266–72.

    Article  CAS  Google Scholar 

  9. Nowak A, Usichenko T, Wendt M, Klemm E. Methods of administering superimposed high-frequency jet ventilation and the associated risk for aspiration in a model of tracheal bleeding. Respiration. 2013;85:59–63.

    Article  Google Scholar 

  10. Sütterlin R, Priori R, Larsson A, LoMauro A, Frykholm P, Aliverti A. Frequency dependence of lung volume changes during superimposed high-frequency jet ventilation and high-frequency jet ventilation. Br J Anaesth. 2014;112(1):141–9.

    Article  Google Scholar 

  11. Biro P, Wiedemann K. Jet ventilation and anaesthesia for diagnostic and therapeutic interventions of the airway. Anästhesist. 1999;48(9):669–85. German

    Article  CAS  Google Scholar 

  12. Lin ES, Jones MJ, Mottram SD, Smith BE, Smith G. Relationship between resonance and gas exchange during high frequency jet ventilation. Br J Anaesth. 1990;64:453–9.

    Article  CAS  Google Scholar 

  13. Calkins JM, Waterson CK, Quan SF, Militzer HW, Otto CW, Conahan TJ, Hameroff SR. Effect of alterations in frequency, inspiratory time, and airway pressure on gas exchange during high frequency jet ventilation in dogs with normal lungs. Resuscitation. 1987;15:87–96.

    Article  CAS  Google Scholar 

  14. Young JD. Gas movement during jet ventilation. Acta Anaesthesiol Scand. 1989;33(Suppl 90):72–4.

    Article  Google Scholar 

  15. MacIntyre NR. High-frequency jet ventilation. Respir Care Clin N Am. 2001;7:599–610.

    Article  CAS  Google Scholar 

  16. Riphaus A, Wehrmann T, Hausman J, et al. Update S3-guideline: “sedation for gastrointestinal endoscopy” 2014 (AWMF-register-no. 021/014). Z Gastroenterol. 2016;54(1):58–95.

    Article  CAS  Google Scholar 

  17. Opderbecke HW, Weißauer W. Erneute gemeinsame Stellungnahme des Berufsverbandes Deutscher Anästhesisten und der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin zu Zulässigkeit und Grenzen der Parallelverfahren in der Anästhesiologie (“Münsteraner Erklärung II 2007”). Anästhesiol Intensivmed. 2007;48:223–9. https://www.bda.de/docman/alle-dokumente-fuer-suchindex/oeffentlich/empfehlungen/559-erneute-gemeinsame-stellungnahme-zu-zulaessigkeit-und-grenzen-der-parallelverfahren-in-der-anaesthesiologie/file.html. Latest accessed 19 Nov 2019

    Google Scholar 

  18. Große S, Schröder W, Klaas M, Klöckner A, Roggenkamp J. Time resolved analysis of steady and oscillating flow in the upper human airways. Exp Fluids. 2007;42:955–70.

    Article  Google Scholar 

  19. Hörschler I, Brücker C, Schröder W, Meinke M. Investigation of the impact of the geometry on the nose flow. Eur J Mech B Fluids. 2006;25(4):471–90.

    Article  Google Scholar 

  20. Kraincuk P, Kormoczi G, Prokop M, Ihra G, Aloy A. Alveolar recruitment of atelectasis under combined high-frequency jet ventilation: a computed tomography study. Intensive Care Med. 2003;29(8):1265–72.

    Article  Google Scholar 

  21. Nowak A, Langebach R, Klemm E, Heller W. Percutaneous dilational tracheostomy (PDT) and prevention of blood aspiration with superimposed high-frequency jet ventilation (SHFJV) using the tracheotomy-endoscope (TED): results of numerical and experimental simulations. Biomed Tech (Berl). 2012;57(2):107–11.

    Article  Google Scholar 

  22. Bingold TM, Scheller B, Wolf T, et al. Superimposed high-frequency jet ventilation combined with continuous positive airway pressure/assisted spontaneous breathing improves oxygenation in patients with H1N1-associated ARDS. Ann Intensive Care. 2012;2:7.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie und Intensivmedizin, Notfallmedizin und Schmerztherapie, Städtisches Klinikum Dresden, Dresden, Germany

    A. Nowak

  2. Klinik für Hals-Nasen-Ohren Heilkunde, Kopf- und Halschirurgie, Plastische Operationen, Städtisches Klinikum Dresden, Dresden, Germany

    E. Klemm

  3. Klinik für Anästhesiologie, Intensiv-, Notfall- und Schmerzmedizin, Universitätsmedizin Greifswald, Körperschaft des öffentlichen Rechts, Greifswald, Germany

    T. Usichenko

  4. Fakultät Maschinenbau/Verfahrenstechnik, Hochschule für Technik und Wirtschaft Dresden, Dresden, Germany

    W. Heller

Authors
  1. A. Nowak
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  2. E. Klemm
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  3. T. Usichenko
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  4. W. Heller
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Corresponding author

Correspondence to A. Nowak .

Editor information

Editors and Affiliations

  1. Teaching Hospital of the University Dresden, Dresden, Sachsen, Germany

    Eckart Klemm

  2. Teaching Hospital of the University Dresden, Dresden, Sachsen, Germany

    Andreas Nowak

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Nowak, A., Klemm, E., Usichenko, T., Heller, W. (2020). Anesthesiological and Respiratory Specialties of Percutaneous Dilatational Tracheotomies. In: Klemm, E., Nowak, A. (eds) Tracheotomy and Airway. Springer, Cham. https://doi.org/10.1007/978-3-030-44314-6_16

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  • DOI: https://doi.org/10.1007/978-3-030-44314-6_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-44313-9

  • Online ISBN: 978-3-030-44314-6

  • eBook Packages: MedicineMedicine (R0)

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