Application and Technical Principles of Catheter High-Frequency Jet Ventilation.

IF 1.8 Q3 RESPIRATORY SYSTEM
Peter Musil, Stefan Harsanyi, Pavol Torok, Monika Paulikova, Didier Moens, Ladislav Kalas, Peter Kalas
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引用次数: 0

Abstract

The aim of this publication is to analyze the topic of high-frequency jet ventilation (HFJV), namely catheter HFJV (C-HFJV), from a mathematical-physical as well as a clinical point of view. There are known issues with applying anesthesia and artificial lung ventilation (ALV) during surgical procedures in the upper airways, e.g., during bronchoscopy or tracheostomy. The principles, advantages, and disadvantages of HFJV are discussed in context with basic physical principles to clarify the proper use of this method. The basic technical principles of catheter construction, as well as its functional properties from a biophysical point of view, are introduced. Also, the placement of the catheter in the airways, the set-up of the HFJV ventilator, and the indications as well as the risks and contraindications of the use of C-HFJV are analyzed. This leads to the explanation of potentially optimal techniques for C-HFJV applications. In this article, we present the positive effects of C-HFJV even with complications such as bacterial or viral pneumonia, including COVID-19. In conclusion, we offer recommendations for clinical practice obtained from a literature review and from our rich clinical experience.

Abstract Image

Abstract Image

Abstract Image

导管高频射流通气的应用及技术原理。
本出版物的目的是分析高频喷射通气(HFJV)的主题,即导管HFJV (C-HFJV),从数学物理和临床的角度来看。在上气道手术过程中,例如在支气管镜检查或气管切开术中,应用麻醉和人工肺通气(ALV)存在已知的问题。在基本物理原理的背景下讨论了HFJV的原理、优点和缺点,以阐明该方法的正确使用。介绍了导管结构的基本技术原理,以及从生物物理学的角度介绍了导管的功能特性。分析了导管在气道内的放置、HFJV呼吸机的设置、C-HFJV的适应症以及使用的风险和禁忌症。这就解释了C-HFJV应用的潜在最佳技术。在本文中,我们介绍了C-HFJV的积极作用,即使有并发症,如细菌性或病毒性肺炎,包括COVID-19。综上所述,我们从文献综述和丰富的临床经验中提出临床实践建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
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