It Is Not Necessary to Remove a Jet Stylet to Determine Tracheal Tube Location
Randall Goskowicz, MD,* Sheila Gaughan, MD,* Jonathan L. Benumof, MD,_F George T. Ozaki$ Ikprtrnent of Anesthesiology. (kmer, San Diego, (:A.
A jet stylet is u .small internal catheter
that is inserted
ofa patient
to extubution ,4fier
the truchenl
hollow
catheter
trutrucheul
removed
who may be difficult
hollow
tube prior
reintubation
thought
with u new trucheal
tube. We describe
a method for preserving
ment of the new tracheal
tube
haue to be
of the new tube to the breathing of ~ntrutrucheal
locution qf the jet stylet while corzfirming
placement
of the
the intrutracheul intrutrucheul
pluce-
tube.
*Resident :Protessor ZSpecialist
in Anesthesia
Address reprint requests to Dr. Benumol at the Department of Anesthesiology, University of.California at San Diego Medical Center, Mail Code H-77OA. 22.5 Dickinson Street, San Diego, CA 92103, USA. Received for publication March 1, 199 1; t-evised cepted for publication May 20, 199 1.
manuscript
J. Clin. Anesth. 4:42-44,
1992
42
vol. 4, .JanuaryiFebruary
Anesth.,
Keywords: Jet ventilation; jet stylet; extubation; intubation, tracheal tube; airway.
Introduction
ac-
Bedger and Chang’ described the concept and use of a jet stylet during extubation of a patient who may be difficult to ventilate and/or reintubate. A jet stylet is a small ID, semirigid hollow catheter (e.g., a commercial tube changer) that is inserted into an in situ tracheal tube. After the tracheal tube is withdrawn over the jet stylet, the hollow catheter can be used for jet ventilation [after adaptation with an appropriately sized intravenous (IV) catheter (preferred)’ or a 2 to 3 mm tracheal tube adapter] (i.e., the jet function) or as an intratracheal stylet for reintubation (i.e., the stylet function). We recently measured and confirmed the capability of a tube changer to function effectively as a jet ventilation device. When a l&gauge IV catheter is inserted into one end of a medium-size tube changer and connected to a 50-pound-per-square-inch wall oxygen (
Randall Goskowicz, MD,* Sheila Gaughan, MD,* Jonathan L. Benumof, MD,_F George T. Ozaki$ Ikprtrnent of Anesthesiology. (kmer, San Diego, (:A.
A jet stylet is u .small internal catheter
that is inserted
ofa patient
to extubution ,4fier
the truchenl
hollow
catheter
trutrucheul
removed
who may be difficult
hollow
tube prior
reintubation
thought
with u new trucheal
tube. We describe
a method for preserving
ment of the new tracheal
tube
haue to be
of the new tube to the breathing of ~ntrutrucheal
locution qf the jet stylet while corzfirming
placement
of the
the intrutracheul intrutrucheul
pluce-
tube.
*Resident :Protessor ZSpecialist
in Anesthesia
Address reprint requests to Dr. Benumol at the Department of Anesthesiology, University of.California at San Diego Medical Center, Mail Code H-77OA. 22.5 Dickinson Street, San Diego, CA 92103, USA. Received for publication March 1, 199 1; t-evised cepted for publication May 20, 199 1.
manuscript
J. Clin. Anesth. 4:42-44,
1992
42
vol. 4, .JanuaryiFebruary
Anesth.,
Keywords: Jet ventilation; jet stylet; extubation; intubation, tracheal tube; airway.
Introduction
ac-
Bedger and Chang’ described the concept and use of a jet stylet during extubation of a patient who may be difficult to ventilate and/or reintubate. A jet stylet is a small ID, semirigid hollow catheter (e.g., a commercial tube changer) that is inserted into an in situ tracheal tube. After the tracheal tube is withdrawn over the jet stylet, the hollow catheter can be used for jet ventilation [after adaptation with an appropriately sized intravenous (IV) catheter (preferred)’ or a 2 to 3 mm tracheal tube adapter] (i.e., the jet function) or as an intratracheal stylet for reintubation (i.e., the stylet function). We recently measured and confirmed the capability of a tube changer to function effectively as a jet ventilation device. When a l&gauge IV catheter is inserted into one end of a medium-size tube changer and connected to a 50-pound-per-square-inch wall oxygen (
