Current techniques of connecting a patient's endotracheal tube to the delivery circuit of a high frequency jet ventilator have several disadvantages. We describe a rigid, interchangeable adapter with a built-in jet injector that connects to any type or size of endotracheal tube. The device is reusable and avoids some of the disadvantages, such as catheter kinking, difficulty in accommodating injectors of different diameters, and tracheal tube obstruction, inherent in other commonly used techniques. It has been used successfully on 44 patients ranging in size from premature infants to adults.
SchusterDP, SnyderJV, KlainM, GrenvikA.High-frequency jet ventilation during the treatment of acute fulminant pulmonary edema. Chest1981;80:682–685.
2.
CarlonGC, MidownikS, RayC, KahnRC. Technical aspects and clinical implications of high frequency jet ventilation with a solenoid valve. Crit Care Med1981;9:47–50.
3.
BabinskiMF, BuneginL, SmithRB, HoffBH. Application of double lumen tracheal tubes for HFV. Anesthesiology1981;55:A370.
4.
BannerMJ, GallagherTJ, RuizDC. A new endotracheal tube for high frequency jet ventilation (abstract). Crit Care Med1982;10:235.
5.
CarlonGC, RayC, GriffinJ, MidownikS, GroegerJS. Tidal volume and airway pressure on high frequency jet ventilation. Crit Care Med1983;11:83–86.
6.
ChatburnRL, CarloWA, LoughMD, ShivpuriCR, AndersonJV. High frequency jet ventilation in neonatal respiratory distress syndrome (abstract). Respir Care1982;27:1234.
7.
ErikssonI, NilssonLG, NordstromS, SjöstrandU.High-frequency positive-pressure ventilation (HFPPV) during transthoracic resection of tracheal stenosis and during pre-operative bronchoscopic examination. Acta Anaesthesiol Scand1975;19:113–119.
8.
MalinaJR, NordstromSG, SjöstrandUH, WattwilLM. Clinical evaluation of high-frequency positive pressure ventilation (HFPPV) in patients scheduled for open-chest surgery. Anesth Analg1981;60:324–330.
9.
ChatburnRL, McClellanLD. A heat and humidification system for high frequency jet ventilation. Respir Care1982;27:1386–1391.
