Multi-Institutional Analysis of Outcomes in Supraglottic Jet Ventilation with a Team-Based Approach

Area of Science:

• Otolaryngology
• Pulmonology
• Surgical Innovation

Background:

• Laryngotracheal stenosis presents complex challenges for airway management.
• Endoscopic airway surgery offers a less invasive approach compared to open procedures.
• Supraglottic jet ventilation is a specialized technique used in airway surgery.

Purpose of the Study:

• To evaluate the safety and complication rates of endoscopic airway surgery utilizing supraglottic jet ventilation.
• To assess the impact of a team-based approach on surgical outcomes.
• To identify factors associated with complications in patients undergoing this procedure.

Main Methods:

• Retrospective cohort study of 371 patients with laryngotracheal stenosis undergoing endoscopic airway surgery with jet ventilation.
• Data collected from January 2008 to December 2018 at two academic institutions.
• Analysis of patient characteristics, comorbidities, treatment approach, intraoperative data, and postoperative complications.

Main Results:

• Fewer than 1% of nearly 900 patient encounters had intraoperative complications.
• Acute and delayed postoperative complications were rare, occurring in less than 3% and 1% of encounters, respectively.
• Diabetes, active smoking, and prior tracheotomy were linked to increased complication risk.

Conclusions:

• A team-based approach enhances the safety of endoscopic airway surgery with jet ventilation.
• This technique demonstrates a low complication profile, ensuring successful surgical outcomes.
• Jet ventilation is a viable and safe option for endoscopic airway interventions.