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Korean Journal of Anesthesiology 1991;24(1):198-201.
DOI: https://doi.org/10.4097/kjae.1991.24.1.198   
A Case of Tension Pneumothorax during High Frequency Left Jet Ventilation in Laryngomicrosurgery.
Yong Seok Oh, Gyu Jeong Noh, Kuk Hyun Lee, Jae Young Park, Seong Deok Kim
Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
High frequency jet ventilation (HFJV) has advantage for laryngomicrosurgery that the transit of a small airway tube through the surgical field causes much less interference with surgery. We experienced a case of tension pneumothorax during high frequency jet ventilation. The possible cause of barotrauma in this case was obstruction of gas escape. It is recommened that meticulous care is taken to ensure and adequate pathway for expiration when HFJV is used.
Key Words: Complication; Tension penumothorax; High frequency jet ventilation; Barotrauma


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