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High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series

We report anesthesia management of sclerotherapy for vascular malformations (VMs) of the upper airway and face of pediatric patients conducted under sedation using a high-flow nasal cannula (HFNC) oxygen delivery system. Sclerotherapy procedures were carried out in six patients (five males, one fema...

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Autores principales: Zadkar, Sanjeevani, Ranjitha, Y. S., Mishra, Poonam, Saraf, Rashmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410035/
https://www.ncbi.nlm.nih.gov/pubmed/37564835
http://dx.doi.org/10.4103/joacp.joacp_238_21
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author Zadkar, Sanjeevani
Ranjitha, Y. S.
Mishra, Poonam
Saraf, Rashmi
author_facet Zadkar, Sanjeevani
Ranjitha, Y. S.
Mishra, Poonam
Saraf, Rashmi
author_sort Zadkar, Sanjeevani
collection PubMed
description We report anesthesia management of sclerotherapy for vascular malformations (VMs) of the upper airway and face of pediatric patients conducted under sedation using a high-flow nasal cannula (HFNC) oxygen delivery system. Sclerotherapy procedures were carried out in six patients (five males, one female; age group: 5–12 years). The patients were sedated with midazolam, fentanyl, ketamine, and graded doses of propofol along with continuous oxygen delivery using HFNC. There were no episodes of oxygen desaturation, tongue fall or obstruction of the airway, interruption of procedure for assisted ventilation, and postoperative nausea and vomiting (PONV). Only two patients showed transient apnea for 10 and 15 s but did not require ventilatory assistance. HFNC provides effective oxygenation in pediatric patients undergoing sclerotherapy of VMs of the upper airway and face under sedation.
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spelling pubmed-104100352023-08-10 High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series Zadkar, Sanjeevani Ranjitha, Y. S. Mishra, Poonam Saraf, Rashmi J Anaesthesiol Clin Pharmacol Case Series We report anesthesia management of sclerotherapy for vascular malformations (VMs) of the upper airway and face of pediatric patients conducted under sedation using a high-flow nasal cannula (HFNC) oxygen delivery system. Sclerotherapy procedures were carried out in six patients (five males, one female; age group: 5–12 years). The patients were sedated with midazolam, fentanyl, ketamine, and graded doses of propofol along with continuous oxygen delivery using HFNC. There were no episodes of oxygen desaturation, tongue fall or obstruction of the airway, interruption of procedure for assisted ventilation, and postoperative nausea and vomiting (PONV). Only two patients showed transient apnea for 10 and 15 s but did not require ventilatory assistance. HFNC provides effective oxygenation in pediatric patients undergoing sclerotherapy of VMs of the upper airway and face under sedation. Wolters Kluwer - Medknow 2023 2022-05-13 /pmc/articles/PMC10410035/ /pubmed/37564835 http://dx.doi.org/10.4103/joacp.joacp_238_21 Text en Copyright: © 2022 Journal of Anaesthesiology Clinical Pharmacology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Series
Zadkar, Sanjeevani
Ranjitha, Y. S.
Mishra, Poonam
Saraf, Rashmi
High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series
title High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series
title_full High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series
title_fullStr High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series
title_full_unstemmed High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series
title_short High-flow nasal cannula (HFNC) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: Case series
title_sort high-flow nasal cannula (hfnc) oxygenation for sclerotherapy of facial and upper airway vascular malformations in pediatric patients: case series
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410035/
https://www.ncbi.nlm.nih.gov/pubmed/37564835
http://dx.doi.org/10.4103/joacp.joacp_238_21
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