List Archives

Mon Apr 28 17:26:31 BST 2008

----- Forwarded Message ----
From: Mike James <Mike.James at uct.ac.za>
To: ccm-l at ccm-l.org
Cc: Anesthideas at yahoogroups.com
Sent: Sunday, April 27, 2008 10:35:58 PM
Subject: Re: [Anesthideas] Fw: PRO & CON: jet ventilation/needle cric.

I once saved a child's life with needel trach and jet ventilation.  The child had inhaled a fishbone which had wedged below the larynx and the surrounding oedema had almost entirely closed the airway.  Three needles were inerted (one for ventilation and 2 for exhalation.  Jet ventialtion was quick and easy to perform and undoubtedly life-saving.  Before the days of modern cricothyrotomy sets this was the only answer and even now may be quicker and easier as a life saving manoeuver.

Mike

MFM James MBChB, PhD, FRCA, FCA(SA)
Professor and Head
Department of Anaesthesia
University of Cape Town
Anzio Road
Observatory 7925
Cape Town
South Africa
Tel:  +27 21 406 6143
Fax: +27 21 447 5206
Cell: +27 (0)83 503 7051

>>> Ivan Hronek <ivanhronek at yahoo.com> 2008/04/28 01:58 AM >>>

----- Forwarded Message ----
From: "McSwain, Norman E Jr." <nmcswai at tulane. edu>
To: trauma-list@ trauma.org
Sent: Sunday, April 27, 2008 1:30:43 PM
Subject: Re: PRO & CON: jet ventilation/ needle cric.

Needle trach vent works well and quick. No gadgets, only needle, O2 adm tube with hole cut in the side to provide 1 second inflation and 4 seconds deflation. Works well. See Scott Frame research

Cheap too. Every ED has a bunch handy

Norman
Typed by the thumbs of
Norman on his BlackBerry 

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

----- Original Message -----
From: trauma-list- bounces at trauma. org <trauma-list- bounces at trauma. org>
To: trauma-list@ trauma.org <trauma-list@ trauma.org>; ccm-l at ccm-l. org <ccm-l at ccm-l. org>
Cc: Anesthideas@ yahoogroups. com <Anesthideas@ yahoogroups. com>
Sent: Sun Apr 27 12:27:39 2008
Subject: PRO & CON: jet ventilation/ needle cric.

Question to all: in the trauma bay for patients who are not intubatable for any reason
the setup forjet ventilation to be able to utilize needle cricothyrotomy:
PRO 
IS necessary, because any additional method to ventilate is worth the expense...CON
is NOT necessary, as surgical airway such as cricothyrotomy 
is more definitive and should be doable just as well...

____________ _________ _________ __

I wish jet ventilation was available in my institution also because ....

____________ _________ _________ __

Thanks for the answers !
Ivan Hronek MD
SFMC, Los Angeles
cell: 310 487-3288
http://health. groups.yahoo. com/group/ Anesthideas/ 
"We are what we repeatedly do.  Excellence, then, is not an act, but a habit."  Aristotle
PPlease don't print this e-mail unless you really need to.

____________ _________ _________ __

Confidentiality Notice: This transmission and any attached documents may be confidential and contain information protected by State and Federal Medical Privacy statutes and is legally privileged. They are intended for use only by the addressee. If you are not the intended recipient of this transmission, or an agent of the intended recipient, you are prohibited from reading, disclosing, printing, saving, copying, using, or otherwise disseminating any information contained in this transmission. If you received this transmission in error, please accept our apologies and notify me at  ivanhronek at yahoo. comand delete the entire message and its attachments. Thank you. Disclaimer: this message contains the personal views of the author. The author will not be responsible in any way for procedures or approaches perfomed in the way suggested in this note. 
____________ _________ _________ __

      ____________ _________ _________ _________ _________ _________ _________ _________ _________
Be a better friend, newshound, and 
know-it-all with Yahoo! Mobile.  Try it now.  http://mobile. yahoo.com/ ;_ylt=Ahu06i62sR 8HDtDypao8Wcj9tA cJ 
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma. org/index. php?/community/ 

________________________________
Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. 

      ____________________________________________________________________________________
Be a better friend, newshound, and 
know-it-all with Yahoo! Mobile.  Try it now.  http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ

List Archives

For your convenience, find the Trauma List Archive Below

Fw: [Anesthideas] Fw: PRO & CON: jet ventilation/needle cric.