Kongsgaard U E, Holst-Larsen H, Tølløfsrud S, Naess L
Anestesiavdelingen Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1990 Jan 10;110(1):54-7.
High frequency jet ventilation gives adequate alveolar ventilation with very small tidal volumes, gas exchange at lower airway pressure, reduced risk of pulmonary barotrauma, and less cardiovascular impairment. Use of small insufflation catheters facilitates surgery when access is restricted, as in laryngeal surgery, and makes it possible to ventilate a patient through a cricithyroid membrane puncture in an emergency situation. In intensive care medicine, jet ventilation can have some advantage over conventional ventilation in patients with bronchopleural fistulas, and when it is difficult to wean patients from a respirator. The article describes experience using an Acutronic AMS-1000 Universal Jet Ventilator.
高频喷射通气以非常小的潮气量提供足够的肺泡通气，在较低气道压力下进行气体交换，降低了肺气压伤的风险，并减少了对心血管系统的损害。当手术入路受限（如喉部手术）时，使用小型吹入导管便于手术操作，并且在紧急情况下能够通过环甲膜穿刺为患者通气。在重症监护医学中，对于患有支气管胸膜瘘的患者以及难以从呼吸机撤机的患者，喷射通气可能比传统通气具有一些优势。本文描述了使用阿库特ronic AMS - 1000通用喷射呼吸机的经验。
