High frequency jet-ventilation anaesthesia in patients with laryngeal pathology.


  • Ion ABABII Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”
  • Sergiu VETRICEAN IMSP SCR "Timofei Moșneaga"; IP USMF "Nicolae Testemițanu”
  • Vasile CABAC IP USMF " Nicolae Testemitanu”
  • Boris CHIRTOCA IMSP SCR "Timofei Mosneaga"
  • Elena RÎMBU IMSP SCR "Timofei Mosneaga"
  • Andrian VITA IMSP SCR "Timofei Mosneaga"
  • Victor OSMAN IMSP SCR "Timofei Mosneaga"; IP USMF " Nicolae Testemitanu”




High-frequency jet ventilation, suspension microlaryngoscopy, glottic space


Airway management in laryngeal surgeries is a challenge for an anesthesiologist due to sharing of airway with a surgeon. The airway is often compromised with potential for perioperative worsening. Introduction of high-frequency jet ventilation (HFJV) in 1970 offered a new modality to secure airway in the laryngology procedures, excluding the disadvantages of classic tracheal intubation. HFJV is characterized by delivery of small tidal volumes (1–2 ml/kg) from a high-pressure jet at supraphysiological frequencies (1–10 Hz) followed by passive expiration. At ENT clinic of “T.Moșneaga” hospital HFJV are used for several years. Applied via supraglottic aproach, HFJV is first choice in patients with severe laryngeal obstruction, lesions of posterior glottic regions, a lot of pacients being suffering of laryngeal papillomatosis. This method can be safely used in microlaryngeal surgery, excluding a lot of serious intraoperative complications, esspecially combustions of conventional endotracheal tubes. Till now, there are not reported complications in our local practice of HFJV

Author Biographies

Ion ABABII, Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”

dr. hab. în șt. med., prof. univ., academician al AȘM

Sergiu VETRICEAN, IMSP SCR "Timofei Moșneaga"; IP USMF "Nicolae Testemițanu”

dr. în șt. med., conf. univ.

Vasile CABAC, IP USMF " Nicolae Testemitanu”

dr. în șt. med. conf. univ.

Boris CHIRTOCA, IMSP SCR "Timofei Mosneaga"

medic ORL

Elena RÎMBU, IMSP SCR "Timofei Mosneaga"

medic anesteziolog

Andrian VITA, IMSP SCR "Timofei Mosneaga"

medic rezident ORL

Victor OSMAN, IMSP SCR "Timofei Mosneaga"; IP USMF " Nicolae Testemitanu”

dr. în șt. med., as. univ.


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Research Article