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Needle-catheter brings oxygen to the trachea
He concedes it is "rather a radical new approach to ventilation," but H. Barry Jacobs, MD, gets air quickly to patients who need it.The technique used by the young surgeon is relatively simple: he inserts a needle-catheter into the trachea, then uses very high pressure to aim a jet of oxygen down the trachea and into the patient's lungs. This results in immediate, positive ventilation, with no waiting for an endotracheal tube insertion after the oxygen mask-bag apparatus has been removed. Any member of a hospital's emergency resuscitation team can be trained to insert the needle-catheter, Dr. Jacobs said.No oxygen toxicity or other serious complications have been noted in 40 patients and in a series of laboratory-animal studies, Dr. Jacobs told the American College of Chest Physicians scientific assembly in Denver.The technique was developed at the Washington (DC) Hospital Center by Dr. Jacobs, chief
Medical News. JAMA. 1972;222(10):1231-1240. doi:10.1001/jama.1972.03210100003002