<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-6718</journal-id>
<journal-title><![CDATA[Revista Cubana de Anestesiología y Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cuba anestesiol reanim]]></abbrev-journal-title>
<issn>1726-6718</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-67182019000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ventilación jet durante microcirugía de múltiples mixomas laríngeos en paciente con vía respiratoria anatómicamente difícil]]></article-title>
<article-title xml:lang="en"><![CDATA[Jet ventilation during microsurgery of multiple laryngeal myxomas in a patient with anatomically difficult respiratory airway]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Seguras Llanes]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez García]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Suárez]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Seguras Llanes]]></surname>
<given-names><![CDATA[Niurka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Carlos J Finlay&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182019000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182019000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182019000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La microcirugía de laringe incluye el dilema de un campo quirúrgico que coincide espacialmente con el del acceso a la vía respiratoria del paciente. Los mixomas, sobre todo numerosos y supra-infraglóticos, representan un reto terapéutico. Si aunado a este hecho, el paciente presenta una vía respiratoria anatómicamente difícil, la fórmula de la catástrofe sólo precisa mezclarlos con un plan de ventilación convencional. En este caso, la ventilación jet puede ser la alternativa para evitar una situación de desastre.  Objetivo:  Describir la secuencia de hechos y los resultados al aplicar por primera vez en el país la ventilación jet vía transcricotiroidea.  Caso clínico:  Ante el fracaso previo de una intervención mediante un método tradicional de ventilación, en una segunda intención para exéresis de múltiples mixomas laríngeos en una paciente con vía respiratoria anatómicamente difícil, después de obtener su consentimiento informado, se procedió a anestesiar y obtener un acceso transcricotiroideo a la vía respiratoria, para ventilar con flujos jet a través de un trocar 16G. La intervención, pensada para 15 min, se extendió durante 90 sin complicaciones ventilatorias o de oxigenación. La paciente fue dada de alta sin secuelas.  Conclusiones:  Aplicar ventilación jet vía transcricotiroidea fue oportuno, seguro y efectivo. Las complicaciones cardiovasculares menores fueron fácilmente controlables. Se usó por primera vez la ventilación jet transcricotiroidea en el país. Este resultado estimula la asimilación de las tecnologías de ventilación jet en contextos electivos o emergentes, como el desafío de una vía respiratoria anatómicamente difícil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The larynx microsurgery involves the dilemma of a surgical field that coincides spatially with that of access to the patient's airway. Myxomas, especially numerous and supra/subglottic, represent a therapeutic challenge. If together with this fact, the patient presents an anatomically difficult airway, the formula for the catastrophe just needs to mix both with a conventional ventilation plan. In this case, jet ventilation can be the choice to avoid a disaster situation.  Objective:  To describe the sequence of events and the outcomes when transcricotyroid jet ventilation was applied for the first time in the country.  Clinical case:  In the face of previous failure of an intervention using a traditional method of ventilation, in a second intention for exeresis of multiple laryngeal myxomas in a patient with anatomically difficult airway, after obtaining her informed consent, we proceeded to anesthetize to obtain a transcricothyroid access to the respiratory tract, to ventilate with jet flows through a 16G trocar. The intervention, planned for 15 min, was extended for 90 minutes without ventilatory or oxygenation complications. The patient was discharged without sequelae.  Conclusions:  Transcricotyroid jet ventilation was timely, safe and effective. Minor cardiovascular complications were easily controllable. Transcricotyroid jet ventilation was used for the first time in the country. This outcome stimulates the assimilation of jet ventilation technologies in elective or emerging contexts, such as the challenge of an anatomically difficult airway.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ventilación jet]]></kwd>
<kwd lng="es"><![CDATA[vía respiratoria anatómicamente difícil]]></kwd>
<kwd lng="es"><![CDATA[microcirugía laríngea]]></kwd>
<kwd lng="es"><![CDATA[cricotiroideotomía]]></kwd>
<kwd lng="en"><![CDATA[jet ventilation]]></kwd>
<kwd lng="en"><![CDATA[anatomically difficult respiratory airway]]></kwd>
<kwd lng="en"><![CDATA[laryngeal microsurgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Glenski]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[MacKenzie]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Maragos]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Southora]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessing tidal volume and detecting hyperinflation during venturi jet ventilation for microlaryngeal surgery]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>1985</year>
<volume>63</volume>
<page-range>554-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jiang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Kacmarek]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efficacy of superimposed high-frequency jet ventilation applied to variable degrees of tracheal stenosis one step forward to optimized patient care]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>2015</year>
<volume>123</volume>
<page-range>747-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rooco]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Guzmán]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo de la vía aérea por acceso infraglótico ventilación jet y cricotirotomía]]></article-title>
<source><![CDATA[Rev Chil Anest]]></source>
<year>2010</year>
<volume>39</volume>
<page-range>158-66</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Altun]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Yilmaz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Basaran]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Çamci]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical excision of postintubation granuloma under jet ventilation]]></article-title>
<source><![CDATA[Turk J Anaesthesiol Reanim]]></source>
<year>2014</year>
<volume>42</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>220-2</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin Chung]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manujet III manual jet ventilation used in tracheobronchial foreign bodies removal in children]]></article-title>
<source><![CDATA[JAMA Otolaryngol Head Neck Surg]]></source>
<year>2013</year>
<volume>27</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>187-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seguras]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Seguridad y efectividad de la ventilación a chorro con frecuencias ventilatorias convencionales para microcirugía laríngea electiva]]></article-title>
<source><![CDATA[Rev Cub Anest Reanim]]></source>
<year>2018</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>31-41</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wei]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cen]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Sha]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Cai]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Supraglottic jet oxygenation and ventilation-assisted fibre-optic bronchoscope intubation in patients with difficult airways]]></article-title>
<source><![CDATA[Intern Emerg Med]]></source>
<year>2017</year>
<volume>12</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>667-73</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fearnley]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Badiger]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Oakley]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmad]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Elective use of the Ventrain for upper airway obstruction during high-frequency jet ventilation]]></article-title>
<source><![CDATA[J Clin Anesth]]></source>
<year>2016</year>
<volume>33</volume>
<page-range>233-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Lei]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Qiao]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Zhong]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ventilation strategy and anesthesia management in patients with severe tracheal stenosis undergoing urgent tracheal stenting]]></article-title>
<source><![CDATA[Acta Anaesthesiol Scand]]></source>
<year>2018</year>
<volume>62</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>600-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yamaguchi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Fujimoto]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Koide]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Kurahashi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Safe induction of anesthesia in 3 patients with severe tracheal stenosis caused by thyroid cancer]]></article-title>
<source><![CDATA[Masui]]></source>
<year>2013</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>78-82</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
