RT Book, Section
A1 Lucangelo, Umberto
A1 Nahum, Avi
A1 Blanch, Lluis
A2 Tobin, Martin J.
SR Print(0)
ID 57068116
T1 Chapter 22. Transtracheal Gas Insufflation, Transtracheal Oxygen Therapy, Emergency Transtracheal Ventilation
T2 Principles and Practice of Mechanical Ventilation, 3e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-173626-8
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57068116
RD 2024/10/13
AB Clinical  evidence  highlights  the  importance  of  limiting  airway  pressure  during  mechanical  ventilation.  In  addition,  experimental  results  suggest  the  importance  of  avoiding  lung  overdistension  and  cyclic  end-expiratory  airspace  collapse  and  reexpansion,  indicating  that  both  phenomena  promote  mechanical  damage  and  release  of  inflammatory  mediators.1–3  Unfortunately,  interventions  that  can  attenuate  the  structural  insult  caused  by  mechanical  ventilation,  such  as  the  use  of  low  tidal  volume,  high  positive  end-expiratory  pressure,  and  reduced  respiratory  rate,  can  limit  total  minute  ventilation.4,5  In  this  context,  transtracheal  oxygen  therapy  and  tracheal  gas  insufflation  (TGI)  could  have  a  role  as  adjuncts  to  mechanical  ventilation.6–10