Difficult airways: a reliable “Plan B”

  • David G Bishop University of KwaZulu-Natal
  • Z Farina University of KwaZulu-Natal
  • R D Wise University of KwaZulu-Natal
Keywords: difficult airway, percutaneous jet ventilation, rescue ventilation.

Abstract

Percutaneous transtracheal jet ventilation (PTJV) is an accepted method of rescue ventilation following unsuccessful attempts to secure the airway through conventional methods. Pre-emptive use of PTJV in the difficult airway has also been described as using either a specifically designed jet ventilation catheter, or other cannulae, such as a central venous catheter (CVC). We report on the insertion of a single-lumen CVC to establish a means for PTJV or oxygen insufflation prior to induction of general anaesthesia in an 18-year-old man. He had an anticipated difficult airway and potentially difficult rescue airway access, having been booked for biopsy of neck masses and formal tracheostomy.

Author Biographies

David G Bishop, University of KwaZulu-Natal
MBChB (UCT), DA (SA), FCA (SA) PMB Metropolitan Department of Anaesthesia Critical Care and Pain Management University of KwaZulu-Natal
Z Farina, University of KwaZulu-Natal
MBChB (UCT), DA (SA), FCA (SA) PMB Metropolitan Department of Anaesthesia Critical Care and Pain Management University of KwaZulu-Natal
R D Wise, University of KwaZulu-Natal
MBChB (UCT), Dip Obst (SA), Dip PEC (SA), FCA (SA) PMB Metropolitan Department of Anaesthesia Critical Care and Pain Management University of KwaZulu-Natal
Published
2011-03-28
Section
Case Studies