{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:16:55Z","timestamp":1777378615997,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Airway management in patients presenting with severe airway obstruction can present a challenge to the anaesthetist, as conventional difficult airway pathways are often inappropriate. The use of a transtracheal jet cannula is an alternative means of airway securement, but lack of familiarity has limited its use in general tertiary hospitals. We report a retrospective audit of the use of transtracheal jet ventilation in a general tertiary healthcare centre over the past seven years, with a total of 50 patients with severe airway compromise undergoing pharyngolaryngeal surgery. Transtracheal jet ventilation was successful in 98% of patients, and was the definitive means of airway management in 43 cases. In six cases, the technique was a useful temporising measure while the airway was secured by other means. Minor complications occurred in 12% of patients. No major morbidities or mortalities were recorded. We conclude that transtracheal jet ventilation for high-risk pharyngolaryngeal surgery can be performed using a high frequency jet ventilator, with a high rate of success and only minor complications. Cannulation of the trachea below the cricothyroid membrane is feasible but more challenging. Low-flow apnoeic oxygenation through the transtracheal jet ventilation cannula maintains oxygenation during initial surgical airway manipulation.<\/jats:p>","DOI":"10.1177\/0310057x211002525","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T01:40:18Z","timestamp":1628127618000},"page":"316-321","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Transtracheal jet ventilation in a general tertiary hospital: A 7-year audit"],"prefix":"10.1177","volume":"49","author":[{"given":"Richard K","family":"Barnes","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine, Monash Health, Clayton, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4417-4013","authenticated-orcid":false,"given":"Jonathan","family":"Au","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine, Monash Health, Clayton, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,4]]},"reference":[{"key":"bibr1-0310057X211002525","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew175"},{"key":"bibr2-0310057X211002525","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2011.06938.x"},{"key":"bibr3-0310057X211002525","first-page":"114","volume-title":"4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. 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