Journal article
Hunsaker mon-jet tube ventilation: A 15-year experience
The Laryngoscope, v 122(10), pp 2234-2239
01 Oct 2012
PMID: 22865634
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective/Hypothesis: The Hunsaker Mon-Jet tube (HMJT) (Xomed, Jacksonville, FL) has been used effectively for subglottic ventilation. We previously reported a series of 552 patients over a 10-year period with no major complications. This is a continuation of that series with an additional 5 years of cases. Study Design: Retrospective consecutive case series. Methods: Patients who were ventilated with the HMJT for microlaryngeal surgery at the University of Washington Medical Center over a 15-year period (19952010) were identified from the Voice Disorders database. Charts were reviewed for demographic data, laryngeal diagnosis, and anesthetic parameters. Main outcome measure was the rate of complications. Results: Fifty-seven complications occurred in 49 cases out of 839 cases (5.8% complication rate). In descending order, the complications were hypoxia (SpO2 <90%, n = 30, 3.6%), hypercarbia (end tidal CO2 of >60 mm Hg, n = 17, 2.0%), airway obstruction (n = 4, 0.5%), barotrauma (n = 2, 0.2%), seeding of blood into trachea (n = 2, 0.2%), submucosal injection of air (n = 1, 0.1%), and mucosal damage (n = 1, 0.1%). Factors associated with complications included high body mass index (P = .04), American Society of Anesthesiology class III or IV (P = .01), history of heart disease (P = .02), history of previous laryngeal surgery (P = .02), longer duration of case (P = .006), and laser use (P = .005). Conclusions: Although subglottic ventilation via an HMJT is a safe alternative to traditional endotracheal intubation in an appropriately selected population, practitioners should remain vigilant about the known complications. Laryngoscope, 2012
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Details
- Title
- Hunsaker mon-jet tube ventilation: A 15-year experience
- Creators
- Amanda Hu - University of Washington Medical CenterPhilip A. Weissbrod - University of California, San DiegoNicole C. Maronian - Case Western Reserve UniversityJennifer Hsia - University of WashingtonJoanna M. Davies - University of WashingtonGouri K. Sivarajan - University of WashingtonAllen D. Hillel - University of Washington
- Publication Details
- The Laryngoscope, v 122(10), pp 2234-2239
- Publisher
- Wiley
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000309060200022
- Scopus ID
- 2-s2.0-84866946252
- Other Identifier
- 991019298779504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, Research & Experimental
- Otorhinolaryngology