Abstract

A life threatening situation can occur if tracheal intubation and bag-mask-valv e ventilation are unable to be performed in restoring adequate gas exchange dur ing acute respiratory failure. Under these circumstances, percutaneous transtra cheal jet ventilation (PTJV) using a large bore needle provides immediate oxyge nation and ventilation. In the present case, PTJV proved to be a life saving pr ocedure by providing adequate gas-exchange and ensuring the patency of the airw ay until a definitive procedure such as oral intubation with bronchoscopy follo wed by surgical tracheostomy was performed. Therapeutic indications and complic ations of PTJV are discussed.

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