{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:26:22Z","timestamp":1761920782181},"reference-count":11,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jccm-2020-0023_s_005_w2aab3b7c28b1b6b1aab1c16b1Aa\">\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>An airway exchange catheter is a hollow-lumen tube able to deliver oxygen and maintain access to a difficult endotracheal airway. This case report demonstrates an undocumented complication associated with an airway exchange catheter and jet ventilation, particularly in a patient with reduced airway diameter due to thick endotracheal secretions. Due to the frequent use of airway exchange catheters in the intensive care unit, this report highlights an adverse event of bilateral pneumothoraces that can be encountered by clinicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jccm-2020-0023_s_006_w2aab3b7c28b1b6b1aab1c16b2Aa\">\n                  <jats:title>Case Presentation<\/jats:title>\n                  <jats:p>This case report describes a 24-year-old female with severe adult respiratory distress syndrome and thick endotra-cheal secretions whose hospital course was complicated by bilateral pneumothoraces resulting from the use of an airway exchange catheter connected to jet ventilation. During the exchange, the catheter occluded the narrowed endotracheal tube to create a one-way valve that led to excessive lung inflation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jccm-2020-0023_s_007_w2aab3b7c28b1b6b1aab1c16b3Aa\">\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Airway exchange catheters used with jet ventilation in a patient with a narrowed endotracheal tube and reduced lung compliance have the potential risk of causing a pneumothorax. Clinicians should avoid temporary concomitant oxygenation via jet ventilation in patients with these findings and reserve the use of airway exchange catheters for difficult airways.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2478\/jccm-2020-0023","type":"journal-article","created":{"date-parts":[[2020,8,17]],"date-time":"2020-08-17T22:43:16Z","timestamp":1597704196000},"page":"186-189","source":"Crossref","is-referenced-by-count":1,"title":["Hypoxic Respiratory Failure Further Complicated During Airway Exchange Catheter Placement"],"prefix":"10.2478","volume":"6","author":[{"given":"Osman","family":"Ali","sequence":"first","affiliation":[{"name":"University of Maryland Medical Center Midtown Campus , Baltimore , MD , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avelino C.","family":"Verceles","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center Midtown Campus , Baltimore , MD , USA"},{"name":"University of Maryland School of Medicine , Baltimore , MD , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Barrett","sequence":"additional","affiliation":[{"name":"Christiana Care Health System , Newark , DE , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Navicent Health , Macon , GA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imran","family":"Khan","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center Midtown Campus , Baltimore , MD , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Negar","family":"Naderi","sequence":"additional","affiliation":[{"name":"Inova Fairfax Medical Campus , Fairfax , VA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T.","family":"McCurdy","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine , Baltimore , MD , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"key":"2024050123462434579_j_jccm-2020-0023_ref_001_w2aab3b7c28b1b6b1ab2b2b1Aa","doi-asserted-by":"crossref","unstructured":"Loudermilk EP, Hartmannsgruber M, Stoltzfus DP, Langevin PB. A prospective study of the safety of tracheal extubation using a pediatric airway exchange catheter for patients with a known difficult airway. Chest. 1997;111(6):1660-5.","DOI":"10.1378\/chest.111.6.1660"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_002_w2aab3b7c28b1b6b1ab2b2b2Aa","doi-asserted-by":"crossref","unstructured":"Demling RH, Read T, Lind LJ, Flanagan HL. Incidence and morbidity of extubation failure in surgical intensive care patients. Crit Care Med. 1988;16(6):573-577.","DOI":"10.1097\/00003246-198806000-00001"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_003_w2aab3b7c28b1b6b1ab2b2b3Aa","doi-asserted-by":"crossref","unstructured":"Tahvanainen J, Salmenper\u00e4 M, Nikki P. Extubation criteria after weaning from intermittent mandatory ventilation and continuous positive airway pressure. Crit Care Med. 1983;11(9):702-707.","DOI":"10.1097\/00003246-198309000-00006"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_004_w2aab3b7c28b1b6b1ab2b2b4Aa","doi-asserted-by":"crossref","unstructured":"DeHaven CB, Hurst JM, Branson RD. Evaluation of two different extubation criteria: attributes contributing to success. Crit Care Med. 1986;14(2):92-94.","DOI":"10.1097\/00003246-198602000-00003"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_005_w2aab3b7c28b1b6b1ab2b2b5Aa","unstructured":"Rashid AM, Williams C, Noble J, Rashid OM, Takabe K, Anand RJ. Pneumothorax, an underappreciated complication with an airway exchange catheter. Journal of Thoracic Disease. 2012;4(6):659-662."},{"key":"2024050123462434579_j_jccm-2020-0023_ref_006_w2aab3b7c28b1b6b1ab2b2b6Aa","doi-asserted-by":"crossref","unstructured":"Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2013;118(2):251-270.","DOI":"10.1097\/ALN.0b013e31827773b2"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_007_w2aab3b7c28b1b6b1ab2b2b7Aa","doi-asserted-by":"crossref","unstructured":"Duggan L V., Law JA, Murphy MF. Brief review: Supplementing oxygen through an airway exchange catheter: efficacy, complications, and recommendations. Can J Anaesth. 2011;58(6):560-568.","DOI":"10.1007\/s12630-011-9488-4"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_008_w2aab3b7c28b1b6b1ab2b2b8Aa","doi-asserted-by":"crossref","unstructured":"Nunn C, Uffman J, Bhananker SM. Bilateral tension pneumothoraces following jet ventilation via an airway exchange catheter. Journal of Anesthesiology. 2007;21(1):7679.","DOI":"10.1007\/s00540-006-0463-0"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_009_w2aab3b7c28b1b6b1ab2b2b9Aa","doi-asserted-by":"crossref","unstructured":"Dworkin R, Benumof JL, Benumof R, Karagianes TG. The effective tracheal diameter that causes air trapping during jet ventilation. J Cardiothorac Vasc Anesth. 1990;4(6):731-736.","DOI":"10.1016\/S0888-6296(09)90012-6"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_010_w2aab3b7c28b1b6b1ab2b2c10Aa","doi-asserted-by":"crossref","unstructured":"Cooper RM, Cohen DR. The use of an endotracheal ventilation catheter for jet ventilation during a difficult intubation. Can J Anaesth. 1994;41(12):1196-1199.","DOI":"10.1007\/BF03020661"},{"key":"2024050123462434579_j_jccm-2020-0023_ref_011_w2aab3b7c28b1b6b1ab2b2c11Aa","doi-asserted-by":"crossref","unstructured":"Benumof JL. Airway Exchange Catheters: Simple Concept, Potentially Great Danger. Anesthesiology. 1999;91(2):342-344.","DOI":"10.1097\/00000542-199908000-00005"}],"container-title":["The Journal of Critical Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/content.sciendo.com\/view\/journals\/jccm\/6\/3\/article-p186.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.sciendo.com\/pdf\/10.2478\/jccm-2020-0023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T19:46:32Z","timestamp":1714592792000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sciendo.com\/article\/10.2478\/jccm-2020-0023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,1]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,11]]},"published-print":{"date-parts":[[2020,8,11]]}},"alternative-id":["10.2478\/jccm-2020-0023"],"URL":"https:\/\/doi.org\/10.2478\/jccm-2020-0023","relation":{},"ISSN":["2393-1817"],"issn-type":[{"value":"2393-1817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,1]]}}}