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December 4, 1972

Medical News

JAMA. 1972;222(10):1231-1240. doi:10.1001/jama.1972.03210100003002

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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